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Anthony Steven Longanbach Jr.

Homemaker in Athens, OH. Individual provider (NPI-1).

NPI number1962099754
StatusActive
Last updated in NPPESDec 28, 2020

Details

NPI
1962099754
Entity type
Individual (NPI-1)
Name
Anthony Steven Longanbach Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 28, 2020
Certification date
Dec 28, 2020
Last updated
Dec 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker0151138OHYes

Practice location

19 Clarke St
Athens, OH 45701-1548

Phone 740-517-9204

Mailing address

17 W Hills Dr
Athens, OH 45701-2255

Phone 740-517-9204

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