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Individual

ALEXANDRA T LONGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN RN

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
2315 E SHERIDAN RD, SALT LAKE CITY, UT 84108-2423
(303) 859-9260

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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