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Individual
MARISSA MARIE GALAN RAVAN
Active
Individual
MARISSA MARIE GALAN RAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN268489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN268489
STATE LICENSE #
GA
Enumeration date
08/26/2020
Last updated
10/17/2025
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