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1538729942
CARISSA M JEANNETTE
PHILADELPHIA, PA
NPI
1538729942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA OT019421)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
Dr. CARISSA M JEANNETTE DO
245 N 15TH ST RM 2108
PHILADELPHIA, PA 19102-1101
Phone number: 215-762-4172
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Mailing Address
Dr. CARISSA M JEANNETTE DO
245 N 15TH ST RM 2108
PHILADELPHIA, PA 19102-1101
Phone number:
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