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1720492770
BRIANNA MARIE LONGINO
PHILADELPHIA, PA
NPI
1720492770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2014-06-18
Last Update Date
2019-10-07
Business Address
BRIANNA MARIE LONGINO PA-C
1601 MARKET ST STE 2410
PHILADELPHIA, PA 19103
Phone number: 215-564-5311
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Mailing Address
BRIANNA MARIE LONGINO PA-C
1618 S CAMAC ST
PHILADELPHIA, PA 19148-1007
Phone number: 304-780-2523
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