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Individual

CHRISTINE L LONGLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
11331 RIDGECREST DRIVE, ANCHORAGE, AK 99516
(907) 346-8013
(907) 346-4596
Mailing address
PO BOX 110398, ANCHORAGE, AK 99511-0398
(907) 346-8013
(907) 346-4596

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1423
AK

Other

Enumeration date
06/16/2014
Last updated
06/16/2014
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