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1396778296
THEA FLUEVOG LONGO
VENICE, FL
NPI
1396778296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL pt2561)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- THEA FLUEVOG LONGO P.T.
333 TAMIAMI TRL S SUITE 207
VENICE, FL 34285-2402
Phone number: 941-484-5659
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Mailing Address
-- THEA FLUEVOG LONGO P.T.
6803 TROPICAIRE BLVD
NORTH PORT, FL 34286-4444
Phone number: 941-240-5425
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