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1902990518
THERESA A LONGO
RIVERSIDE, CA
NPI
1902990518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: CA G59848)
Enumeration Date
2006-10-03
Last Update Date
2022-12-26
Business Address
THERESA A LONGO MD
17575 WICKER WAY
RIVERSIDE, CA 92504-9563
Phone number: 951-780-9389
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Mailing Address
THERESA A LONGO MD
17575 WICKER WAY
RIVERSIDE, CA 92504-9563
Phone number: 951-961-6529
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