Dr JACQLYN E LONG OD is a female medical professional, specializing in Optometry. She graduated in 1989 from University Of Missouri St Louis - School Of Optometry.
NUCROWN LLC
406 E BROADWAY
ALTON
IL
620022417
Tel: 6184627611
| Npi | 1992866057 |
| Pac Id | 2365546421 |
| Professional Enrollment Id | I20140410000325 |
| Last Name | LONG |
| First Name | JACQLYN |
| Middle Name | E |
| Suffix | |
| Gender | F |
| Credential | OD |
| Medical School Name | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1989 |
| Primary Specialty | OPTOMETRY |
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| Organization Legal Name | NUCROWN LLC |
| Group Practice Pac Id | 1456256346 |
| Number Of Group Practice Members | 25 |
| Line 1 Street Address | 406 E BROADWAY |
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| City | ALTON |
| State | IL |
| Zip Code | 620022417 |
| Phone Number | 6184627611 |
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| Professional Accepts Medicare Assignment | Y |
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