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1164636304
MARISA LEIGH KING
VIRGINIA BEACH, VA
NPI
1164636304
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Former Name
MARISA LEIGH STROTHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110006161)
Enumeration Date
2007-05-09
Last Update Date
2019-08-20
Business Address
MARISA LEIGH KING PAC
3432 HOLLAND RD
VIRGINIA BEACH, VA 23452-4846
Phone number: 757-468-1855
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Mailing Address
MARISA LEIGH KING PAC
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700
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