NICOLE MARIE LONGORIA

RALEIGH, NC
NPI1497994529
Former NameNICOLE MARIE KUPINSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  1084959)
Enumeration Date2009-02-12
Last Update Date2017-01-05
Business Address
Mrs. NICOLE MARIE LONGORIA P.A.
10207 CERNY ST SUITE 312
RALEIGH, NC 27617-4879
Phone number: 919-670-0302
Mailing Address
Mrs. NICOLE MARIE LONGORIA P.A.
4355 LYMAN AVE
RALEIGH, NC 27616-8460
Phone number: 931-302-0026
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