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1700115458
MARISSA MARIE HERRANZ
MAYWOOD, IL
NPI
1700115458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209007831)
Enumeration Date
2009-12-09
Last Update Date
2009-12-09
Business Address
-- MARISSA MARIE HERRANZ APN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-327-2695
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Mailing Address
-- MARISSA MARIE HERRANZ APN
845 N KINGSBURY ST #711
CHICAGO, IL 60610-9241
Phone number: 512-587-6193
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