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1619283777
TERESA LONGORIA
ORANGE, CA
NPI
1619283777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
-- TERESA LONGORIA MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-6431
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Mailing Address
-- TERESA LONGORIA MD
PO BOX 54538
LOS ANGELES, CA 90054-0538
Phone number: 714-456-6431
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