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1053930677
CARLENA LONGMIRE
TAMPA, FL
NPI
1053930677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA17727)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
CARLENA LONGMIRE COTA/L
4411 N HABANA AVE
TAMPA, FL 33614-7211
Phone number: 727-455-3751
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Mailing Address
CARLENA LONGMIRE COTA/L
8806 TORCHWOOD DR
TRINITY, FL 34655-5333
Phone number: 727-455-3751
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