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1770949901
NICOLE L LUONGO
MALVERN, PA
NPI
1770949901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: PA MA057902)
Enumeration Date
2016-01-04
Last Update Date
2016-01-04
Business Address
NICOLE L LUONGO PA-C
325 CENTRAL AVE SUITE 200
MALVERN, PA 19355-3265
Phone number: 610-644-6755
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Mailing Address
NICOLE L LUONGO PA-C
PO BOX 350
SELLERSVILLE, PA 18960-0350
Phone number: 215-723-2333
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