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Organization

LONGE ENTERPRISES CORP

Active
Other names
Longe Optical
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE BOXBERGER (PRESIDENT)
(260) 423-9411
Entity
Organization

Contact information

Practice address
6709 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6209
(260) 432-8409
Mailing address
6709 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6209
(260) 432-8409

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
12/04/2012
Last updated
04/17/2013
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