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1083101810
MARISSA MALLARI MAGTANONG
GLEN BURNIE, MD
NPI
1083101810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R160195)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
MARISSA MALLARI MAGTANONG NP
665 RHONE CT
GLEN BURNIE, MD 21061-4820
Phone number: 410-760-4128
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Mailing Address
MARISSA MALLARI MAGTANONG NP
665 RHONE CT
GLEN BURNIE, MD 21061-4820
Phone number: 410-760-4128
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