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1750873022
MARISSA LEE IVERSON
NORTH HOLLYWOOD, CA
NPI
1750873022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 77730)
Enumeration Date
2018-06-03
Last Update Date
2018-06-03
Business Address
Dr. MARISSA LEE IVERSON PharmD
10945 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606-3717
Phone number: 818-487-0119
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Mailing Address
Dr. MARISSA LEE IVERSON PharmD
4329 DIXIE CANYON AVE APT 203
SHERMAN OAKS, CA 91423-3972
Phone number: 310-625-3686
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