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1295324606
MARISSA WILSON
DALLAS, TX
NPI
1295324606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP141600)
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
MARISSA WILSON
3500 W WHEATLAND RD
DALLAS, TX 75237-3460
Phone number: 214-947-9999
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Mailing Address
MARISSA WILSON
8016 COUNTY ROAD 305
GRANDVIEW, TX 76050-3450
Phone number: 773-259-1925
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