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1497146195
MARISSA MICHAEL MACK
MAYFIELD HEIGHTS, OH
NPI
1497146195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: OH 17067)
Enumeration Date
2015-02-17
Last Update Date
2015-02-17
Business Address
MARISSA MICHAEL MACK CNP
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124-2203
Phone number: 440-312-4500
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Mailing Address
MARISSA MICHAEL MACK CNP
6559 WILSON MILLS RD
CLEVELAND, OH 44143-6402
Phone number: 440-449-1540
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