MARISA KRISTINE BLAKE-RAUT

MARIETTA, 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 Date2024-10-10
Business Address
Mrs. MARISA KRISTINE BLAKE-RAUT FNP-C, ENP-C
2480 WINDY HILL RD SE STE 405
MARIETTA, GA 30067-8658
Phone number: 800-640-3451
Mailing Address
Mrs. MARISA KRISTINE BLAKE-RAUT FNP-C, ENP-C
PO BOX 1200
PLEASANT GROVE, UT 84062-1200
Phone number: 800-640-3451
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