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1386208551
MARISSA LYNN MATTHEWS
DETROIT, MI
NPI
1386208551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301506874)
Enumeration Date
2019-04-23
Last Update Date
2022-09-20
Business Address
MARISSA LYNN MATTHEWS
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3329
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Mailing Address
MARISSA LYNN MATTHEWS
PO BOX 351357
TOLEDO, OH 43635-1357
Phone number:
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