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1891402830
MARISSA ANNE FORTUNA
DAVENPORT, IA
NPI
1891402830
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Former Name
MARISSA STAFFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A166951)
Enumeration Date
2022-10-31
Last Update Date
2024-01-25
Business Address
MARISSA ANNE FORTUNA MSN, FNP-C
1850 E 53RD ST STE 2
DAVENPORT, IA 52807-2784
Phone number: 563-335-9410
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Mailing Address
MARISSA ANNE FORTUNA MSN, FNP-C
1850 E 53RD ST STE 2
DAVENPORT, IA 52807-2784
Phone number: 563-359-4106
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