Individual
ANTHONY STEVEN LONGANBACH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 CLARKE ST, ATHENS, OH 45701-1548
(740) 517-9204
Mailing address
17 W HILLS DR, ATHENS, OH 45701-2255
(740) 517-9204
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0151138
OH
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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