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1093350365
LARISSA COOLEY
TOWSON, MD
NPI
1093350365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C07339)
Enumeration Date
2019-11-11
Last Update Date
2019-11-11
Business Address
LARISSA COOLEY PA-C
6701 N CHARLES ST
TOWSON, MD 21204-6808
Phone number: 443-849-2597
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Mailing Address
LARISSA COOLEY PA-C
112 ORCHARD ST
JOHNSTOWN, PA 15905-2726
Phone number: 814-659-5675
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