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1104210301
MARIANNE MARIE LONGO
RIDGEWOOD, NJ
NPI
1104210301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ00559700)
Enumeration Date
2015-03-25
Last Update Date
2015-03-26
Business Address
Mrs. MARIANNE MARIE LONGO
1200 E RIDGEWOOD AVE 2ND FLOOR
RIDGEWOOD, NJ 07450-3957
Phone number: 201-670-8660
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Mailing Address
Mrs. MARIANNE MARIE LONGO
1200 E RIDGEWOOD AVE 2ND FLOOR
RIDGEWOOD, NJ 07450-3957
Phone number: 201-670-8660
Copy
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