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Individual
MARISA MARIE THUNN
Active
Individual
MARISA MARIE THUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
091666
IA
363A00000X
Physician Assistant
Primary
2202
NE
Other
Enumeration date
03/29/2018
Last updated
12/31/2020
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