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1689778938
VIVIANA LAUREN LONGORIA-ORTIZ
FORT WORTH, TX
NPI
1689778938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: TX AP137387)
Enumeration Date
2006-09-08
Last Update Date
2018-04-30
Business Address
VIVIANA LAUREN LONGORIA-ORTIZ CPNP-PC
1325 PENNSYLVANIA AVE STE 740
FORT WORTH, TX 76104-2144
Phone number: 817-250-5435
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Mailing Address
VIVIANA LAUREN LONGORIA-ORTIZ CPNP-PC
5316 FALLEN LEAF ST
FORT WORTH, TX 76179-1548
Phone number: 817-658-8029
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