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1912414624
MARISSA BLAIRE SPENCER
DALLAS, TX
NPI
1912414624
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Former Name
MARISSA BLAIRE BUTLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11743)
Enumeration Date
2018-01-03
Last Update Date
2021-10-28
Business Address
MARISSA BLAIRE SPENCER PA-C
5470 W LOVERS LN STE 330
DALLAS, TX 75209-4392
Phone number: 214-956-7520
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Mailing Address
MARISSA BLAIRE SPENCER PA-C
5470 W LOVERS LN STE 330
DALLAS, TX 75209-4392
Phone number: 214-956-7337
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