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Individual
CHARISSA LYNN MANUAT
Active
Individual
CHARISSA LYNN MANUAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036130274
IL
208000000X
Pediatrics Physician
31764
SC
2080N0001X
Neonatal-Perinatal Medicine Physician
20760
NV
2080N0001X
Neonatal-Perinatal Medicine Physician
50700
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
70397
TN
Other
Enumeration date
06/23/2009
Last updated
07/30/2026
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