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1285007310
MARISSA BLACK
OGDEN, UT
NPI
1285007310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- MARISSA BLACK
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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Mailing Address
-- MARISSA BLACK
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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