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1073153219
MARISSA SUZANNE MALENKOS
INDIANAPOLIS, IN
NPI
1073153219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28174774A)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
MARISSA SUZANNE MALENKOS
2020 W 86TH ST STE 306
INDIANAPOLIS, IN 46260-1931
Phone number: 317-602-1965
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Mailing Address
MARISSA SUZANNE MALENKOS
8929 SOURWOOD CT
INDIANAPOLIS, IN 46260-1544
Phone number: 317-760-6926
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