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1184372898
MARISA DREVENAK
WINSTON SALEM, NC
NPI
1184372898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001012412)
Enumeration Date
2022-03-11
Last Update Date
2023-03-10
Business Address
MARISA DREVENAK PA-C
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-3410
Phone number: 337-991-9276
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Mailing Address
MARISA DREVENAK PA-C
6700 ALBEMARLE RD
CHARLOTTE, NC 28212
Phone number: 704-921-1000
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