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Individual
ALEXANDRA T LONGE
Active
Individual
ALEXANDRA T LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8274636-3102
UT
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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