MARISA KRISTINE BLAKE-RAUT

KENNESAW, GA
NPI1528532272
Former NameMARISA KRISTINE JAHNKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN193648)
Enumeration Date2019-01-16
Last Update Date2020-08-26
Business Address
Mrs. MARISA KRISTINE BLAKE-RAUT FNP-C, ENP-C
2481 GEORGE BUSBEE PKWY NW
KENNESAW, GA 30144-4961
Phone number: 770-423-0000
Mailing Address
Mrs. MARISA KRISTINE BLAKE-RAUT FNP-C, ENP-C
200 N WILLOW CT
ALPHARETTA, GA 30004-5411
Phone number: 610-737-3638
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