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1427384684
JAY ALLEN LONGINO
AMARILLO, TX
NPI
1427384684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: TX 577874)
Enumeration Date
2009-10-22
Last Update Date
2009-10-22
Business Address
Mr. JAY ALLEN LONGINO CRNFA
1901 MEDI PARK DR BLDG D SUITE 2051
AMARILLO, TX 79106-2110
Phone number: 806-359-0718
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Mailing Address
Mr. JAY ALLEN LONGINO CRNFA
1901 MEDI PARK DR BLDG D SUITE 2051
AMARILLO, TX 79106-2110
Phone number: 806-359-0718
Copy
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