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1144779091
DANIEL LONGINO
BOSSIER CITY, LA
NPI
1144779091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA AP08930)
Enumeration Date
2016-10-03
Last Update Date
2021-07-08
Business Address
DANIEL LONGINO
2400 HOSPITAL DR STE 130
BOSSIER CITY, LA 71111-2386
Phone number: 318-212-7990
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Mailing Address
DANIEL LONGINO
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951
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