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1518627173
LANDRY MARSHALL
NORFOLK, VA
NPI
1518627173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2021-12-23
Last Update Date
2022-01-06
Business Address
LANDRY MARSHALL PA
1775 FORRESTAL DR BLDG 33
NORFOLK, VA 23551-0001
Phone number: 910-459-9752
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Mailing Address
LANDRY MARSHALL PA
113 KNOTTS CT
SNEADS FERRY, NC 28460-6819
Phone number:
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