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1225592777
MARISSA ERICA STAVNESS
SACRAMENTO, CA
NPI
1225592777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-01-29
Last Update Date
2019-02-26
Business Address
MARISSA ERICA STAVNESS
9343 TECH CENTER DR
SACRAMENTO, CA 95826-2563
Phone number: 916-388-6400
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Mailing Address
MARISSA ERICA STAVNESS
9343 TECH CENTER DR
SACRAMENTO, CA 95826-2563
Phone number:
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