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1013760453
CARISSA LONGO
SAN FRANCISCO, CA
NPI
1013760453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
CARISSA LONGO MD
1825 4TH ST
SAN FRANCISCO, CA 94143-2350
Phone number: 415-353-1613
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Mailing Address
CARISSA LONGO MD
14280 S MILITARY TRL P.O. BOX 7573
DELRAY BEACH, FL 33484
Phone number:
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