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1144074428
SOPHIE LONGO
CHICAGO, IL
NPI
1144074428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041469187)
Enumeration Date
2024-04-15
Last Update Date
2024-04-15
Business Address
SOPHIE LONGO RN
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 312-942-5000
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Mailing Address
SOPHIE LONGO RN
103 PINE AVE
RIVERSIDE, IL 60546-2104
Phone number: 815-212-0833
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