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1245012673
MASAKO LONGWELL
ALEXANDRIA, VA
NPI
1245012673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024189206)
Enumeration Date
2023-10-19
Last Update Date
2024-04-05
Business Address
MASAKO LONGWELL
8119 HOLLAND RD
ALEXANDRIA, VA 22306-3135
Phone number: 571-234-0403
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Mailing Address
MASAKO LONGWELL
8119 HOLLAND RD
ALEXANDRIA, VA 22306-3135
Phone number:
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