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1528784121
FABIANA DEMARIA LONG
BRANDON, FL
NPI
1528784121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11022441)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
FABIANA DEMARIA LONG APRN
407 N PARSONS AVE STE 104
BRANDON, FL 33510-4537
Phone number: 813-681-5880
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Mailing Address
FABIANA DEMARIA LONG APRN
407 N PARSONS AVE STE 104
BRANDON, FL 33510-4537
Phone number: 813-681-5880
Copy
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