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1780169946
KELLI LONGORIA
VICTORIA, TX
NPI
1780169946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139043)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
KELLI LONGORIA
2700 CITIZENS PLZ STE 400
VICTORIA, TX 77901-5757
Phone number: 361-237-3945
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Mailing Address
KELLI LONGORIA
2700 CITIZENS PLZ STE 400
VICTORIA, TX 77901-5757
Phone number: 361-237-3945
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