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Individual
MR. HORACE MICHAEL DELISSER JR.
Active
Individual
MR. HORACE MICHAEL DELISSER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
11352
GA
363AS0400X
Surgical Physician Assistant
25MP00494800
NJ
363AS0400X
Surgical Physician Assistant
MA059415
PA
363AS0400X
Surgical Physician Assistant
—
NULL
Other
Enumeration date
10/18/2017
Last updated
01/16/2023
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