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1194387431
MARISSA CLARK
WILLIMANTIC, CT
NPI
1194387431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-07-08
Last Update Date
2020-11-06
Business Address
MARISSA CLARK PA-C
112 MANSFIELD AVE
WILLIMANTIC, CT 06226-2040
Phone number: 860-456-9116
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Mailing Address
MARISSA CLARK PA-C
628 SPRING ST
MANCHESTER, CT 06040-6746
Phone number:
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