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1962160580
MARISSA DAVIGNON
STATEN ISLAND, NY
NPI
1962160580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 02688301)
Enumeration Date
2021-12-01
Last Update Date
2022-01-02
Business Address
MARISSA DAVIGNON
75 CLOISTER PL
STATEN ISLAND, NY 10306-2332
Phone number: 802-989-5725
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Mailing Address
MARISSA DAVIGNON
75 CLOISTER PL
STATEN ISLAND, NY 10306-2332
Phone number:
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