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1316327265
LARISSA ANN JACKLINE
PITTSBURGH, PA
NPI
1316327265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP014869)
Enumeration Date
2015-06-05
Last Update Date
2015-06-05
Business Address
-- LARISSA ANN JACKLINE CRNP
2000 MARY ST SUITE 2500
PITTSBURGH, PA 15203-2054
Phone number: 412-488-5705
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Mailing Address
-- LARISSA ANN JACKLINE CRNP
2000 MARY ST SUITE 2500
PITTSBURGH, PA 15203-2054
Phone number: 412-488-5705
Copy
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