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1740980507
MARISA ELLIOTT
AUGUSTA, GA
NPI
1740980507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA DN123146)
Enumeration Date
2023-03-08
Last Update Date
2023-12-16
Business Address
MARISA ELLIOTT DMD
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912-0001
Phone number: 706-721-2441
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Mailing Address
MARISA ELLIOTT DMD
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912-0001
Phone number: 706-721-2441
Copy
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