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Individual
MARISSA A MEDRANO
Active
Individual
MARISSA A MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20252
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2023
Last updated
05/26/2026
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