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1023505245
MARISSA LYN WITHROW
CLEVELAND, TN
NPI
1023505245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 23903)
Enumeration Date
2018-04-13
Last Update Date
2018-12-10
Business Address
MARISSA LYN WITHROW
2424 N OCOEE ST
CLEVELAND, TN 37311
Phone number: 866-389-2727
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Mailing Address
MARISSA LYN WITHROW
183 JENKINS RD NE
CLEVELAND, TN 37312-6623
Phone number:
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