INGRID A MARISIN

FORT BENNING, GA
NPI1649354952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  284009)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Mrs. INGRID A MARISIN LPN
MACH RPC MARTIN LOOP BUILDING 9224
FORT BENNING, GA 31905
Phone number: 706-544-2633
Mailing Address
Mrs. INGRID A MARISIN LPN
536 N VALDEZ CT APT B
FORT BENNING, GA 31905-7876
Phone number: 706-544-2633
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