MARISA RENE FULLGRAPP

BRADENTON, FL
NPI1992399026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9114046)
Enumeration Date2021-03-01
Last Update Date2021-03-01
Business Address
MARISA RENE FULLGRAPP PA-C
6110 STATE ROAD 70 E
BRADENTON, FL 34203-9712
Phone number: 941-755-4242
Mailing Address
MARISA RENE FULLGRAPP PA-C
4641 TALBOT PL
SARASOTA, FL 34241-6148
Phone number: 941-780-8018
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