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1649945593
MARISA KONISHI
RESTON, VA
NPI
1649945593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0024181654)
Enumeration Date
2021-08-12
Last Update Date
2023-10-30
Business Address
MARISA KONISHI FNP
1800 TOWN CENTER DR STE 311
RESTON, VA 20190-3239
Phone number: 703-763-2705
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Mailing Address
MARISA KONISHI FNP
13168 CENTERPOINTE WAY STE 101
WOODBRIDGE, VA 22193-5287
Phone number: 703-730-2000
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