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1891032777
HEATHER LYNN LONGO
SYRACUSE, NY
NPI
1891032777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 277467)
Enumeration Date
2013-01-11
Last Update Date
2013-01-11
Business Address
HEATHER LYNN LONGO LPN
2105 W GENESEE ST
SYRACUSE, NY 13219-1698
Phone number: 315-468-3239
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Mailing Address
HEATHER LYNN LONGO LPN
716 ORWOOD PL
SYRACUSE, NY 13208-3125
Phone number: 315-439-2747
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