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1417629734
JULIA M LONGO
PROVIDENCE, RI
NPI
1417629734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: RI APRN02839)
Enumeration Date
2021-10-05
Last Update Date
2022-05-25
Business Address
JULIA M LONGO PMHNP
345 BLACKSTONE BLVD BUTLER PATIENT ASSESSMENT
PROVIDENCE, RI 02906-0290
Phone number: 401-455-6346
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Mailing Address
JULIA M LONGO PMHNP
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904-5113
Phone number:
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