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1952888992
MARISSA ANTIONETTE WHITE
COLUMBUS, GA
NPI
1952888992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
MARISSA ANTIONETTE WHITE
1441 BOXWOOD BLVD APT D18
COLUMBUS, GA 31906-2799
Phone number: 706-561-5535
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Mailing Address
MARISSA ANTIONETTE WHITE
1441 BOXWOOD BLVD APT D18
COLUMBUS, GA 31906-2799
Phone number: 706-561-5535
Copy
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