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1316375777
MARISA FARGNOLI
MARIETTA, GA
NPI
1316375777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA 188848)
Enumeration Date
2013-10-23
Last Update Date
2013-10-23
Business Address
-- MARISA FARGNOLI
55 WHITCHER ST NE SUITE 160
MARIETTA, GA 30060-1155
Phone number: 770-422-1372
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Mailing Address
-- MARISA FARGNOLI
760 WICKERBERRY KNLS
ROSWELL, GA 30075-4230
Phone number: 678-787-6295
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