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1417188707
GINA LONGO
CLARKSVILLE, TN
NPI
1417188707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN F0709120)
Enumeration Date
2009-08-04
Last Update Date
2009-08-04
Business Address
-- GINA LONGO MSN FNP
111 CENTER POINTE DR SUITE 1
CLARKSVILLE, TN 37040-8424
Phone number: 931-648-7615
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Mailing Address
-- GINA LONGO MSN FNP
111 CENTER POINTE DR SUITE 1
CLARKSVILLE, TN 37040-8424
Phone number: 931-648-7615
Copy
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