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1093099855
LARISSA NICOLE ANTHONY
PHOENIX, AZ
NPI
1093099855
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Other Name
LARISSA NICOLE BOISSELLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 4993)
Enumeration Date
2011-09-28
Last Update Date
2023-09-19
Business Address
LARISSA NICOLE ANTHONY PA-C
2550 W UNION HILLS DR STE 390
PHOENIX, AZ 85027-5197
Phone number: 602-443-4068
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Mailing Address
LARISSA NICOLE ANTHONY PA-C
5151 E BROADWAY RD STE 107
MESA, AZ 85206-1346
Phone number: 480-290-7000
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