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1326563396
GINA M LONGO
SUFFIELD, CT
NPI
1326563396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 001158)
Enumeration Date
2017-08-10
Last Update Date
2017-08-10
Business Address
GINA M LONGO ATC
185 N MAIN ST
SUFFIELD, CT 06078-2116
Phone number: 860-386-4487
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Mailing Address
GINA M LONGO ATC
310 WOODGATE CIR
ENFIELD, CT 06082-5573
Phone number: 908-477-7840
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