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1346529633
MARISSA ANNE LEASURE
ATLANTA, GA
NPI
1346529633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA rn165949)
Enumeration Date
2011-08-04
Last Update Date
2011-08-04
Business Address
Miss MARISSA ANNE LEASURE NP
1210 PINE RIDGE RD NE
ATLANTA, GA 30324-2732
Phone number: 678-612-2664
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Mailing Address
Miss MARISSA ANNE LEASURE NP
1210 PINE RIDGE RD NE
ATLANTA, GA 30324-2732
Phone number: 678-612-2664
Copy
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