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1396089967
KRISTINA ELAINE LONGO
GRAPEVINE, TX
NPI
1396089967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 688607)
Enumeration Date
2012-11-20
Last Update Date
2022-07-21
Business Address
-- KRISTINA ELAINE LONGO FNP-C
1631 LANCASTER DR STE 150
GRAPEVINE, TX 76051-3586
Phone number: 817-251-9080
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Mailing Address
-- KRISTINA ELAINE LONGO FNP-C
PO BOX 911230
DALLAS, TX 75391-1230
Phone number: 972-997-8000
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