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1003308529
ELIZABETH LONGO
BARTLETT, TN
NPI
1003308529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
ELIZABETH LONGO
5756 REDFORD CV
BARTLETT, TN 38135-1408
Phone number: 901-240-4930
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Mailing Address
ELIZABETH LONGO
5756 REDFORD CV
BARTLETT, TN 38135-1408
Phone number: 901-240-4930
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