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Individual
LANDRY MARSHALL
Active
Individual
LANDRY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
0010-14870
NC
Other
Enumeration date
12/23/2021
Last updated
07/02/2026
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