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1467145938
MARISSA JOHNSON
VISTA, CA
NPI
1467145938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95025351)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
MARISSA JOHNSON
2067 W VISTA WAY STE 250
VISTA, CA 92083-6034
Phone number: 562-490-9900
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Mailing Address
MARISSA JOHNSON
3401 PIAZZA DE ORO WAY UNIT 2
OCEANSIDE, CA 92056-3783
Phone number: 515-868-8281
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