Individual
DOUGLAS JESS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ES LAT ATC
Contact information
Practice address
1115 S COTTONWOOD ST, NORTH PLATTE, NE 69101-6108
(308) 696-7456
(308) 696-8637
Mailing address
1115 S COTTONWOOD ST, NORTH PLATTE, NE 69101-6108
(308) 696-7456
(308) 696-8637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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