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1710603527
KRISTA BLAU LONGMORE
BRADENTON, FL
NPI
1710603527
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Other Name
KRISTA BLAU LONGMORE VAN ROEKEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 660740)
Enumeration Date
2022-10-13
Last Update Date
2022-12-13
Business Address
Mrs. KRISTA BLAU LONGMORE FNP-C
2020 59TH ST W
BRADENTON, FL 34209-4604
Phone number: 941-792-6611
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Mailing Address
Mrs. KRISTA BLAU LONGMORE FNP-C
5860 RANCH LAKE BLVD STE 200
BRADENTON, FL 34202-3719
Phone number: 941-388-8997
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