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1811779481
MARISA WALL
NEW YORK, NY
NPI
1811779481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 031472)
Enumeration Date
2023-10-18
Last Update Date
2024-02-20
Business Address
MARISA WALL
5 E 98TH ST
NEW YORK, NY 10029-6501
Phone number: 212-241-4812
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Mailing Address
MARISA WALL
5 E 98TH ST
NEW YORK, NY 10029-6501
Phone number:
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