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1750103479
MARISSA DESTEFANO
WILMINGTON, DE
NPI
1750103479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: DE C5-0012164)
Enumeration Date
2024-10-25
Last Update Date
2024-10-25
Business Address
MARISSA DESTEFANO
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808-5413
Phone number: 302-655-9494
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Mailing Address
MARISSA DESTEFANO
100 PATURA RD
MODENA, NY 12548-5310
Phone number:
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