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Individual
MR. ALBERT-MARY LONGCHAMP
Active
Individual
MR. ALBERT-MARY LONGCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11018757
FL
363L00000X
Nurse Practitioner
Primary
11018757
FL
363LA2200X
Adult Health Nurse Practitioner
11018757
FL
Other
Enumeration date
04/12/2022
Last updated
02/13/2024
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