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1629771282
CARISSA SUMMERS MADSON
WILKES BARRE, PA
NPI
1629771282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-23
Last Update Date
2023-03-26
Business Address
CARISSA SUMMERS MADSON DO
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711-0001
Phone number: 707-567-3830
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Mailing Address
CARISSA SUMMERS MADSON DO
1500 LEWIS TURNER BLVD APT M103
FORT WALTON BEACH, FL 32547-7211
Phone number: 707-567-3830
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