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1366829954
MARISSA CARR KENYON
DETROIT, MI
NPI
1366829954
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Former Name
MARISSA LAUREN CARR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007066)
Enumeration Date
2015-05-03
Last Update Date
2015-05-03
Business Address
Mrs. MARISSA CARR KENYON PA-C
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-4000
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Mailing Address
Mrs. MARISSA CARR KENYON PA-C
45511 LOUISE CT
UTICA, MI 48317-5782
Phone number: 586-567-6664
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