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Individual

DANA L LONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
9500 EUCLID AVE # Q10-1, CLEVELAND, OH 44195-0001
(216) 445-1291
(216) 636-4492
Mailing address
9500 EUCLID AVE # Q10-1, CLEVELAND, OH 44195-0001
(216) 445-1291
(216) 636-4492

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.13826 NP
OH

Other

Enumeration date
09/28/2012
Last updated
09/28/2012
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