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1932180106
MARISSA K DAVIS
KINGSPORT, TN
NPI
1932180106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN RN0000105257)
Enumeration Date
2005-11-07
Last Update Date
2011-11-28
Business Address
MARISSA K DAVIS CRNA
2204 PAVILION DR SUITE 105
KINGSPORT, TN 37660-4657
Phone number: 423-392-6343
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Mailing Address
MARISSA K DAVIS CRNA
2204 PAVILION DR SUITE 105
KINGSPORT, TN 37660-4657
Phone number: 423-392-6343
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