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Individual
MISS MARISA D. MONROE
Active
Individual
MISS MARISA D. MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6825343-1206
UT
363A00000X
Physician Assistant
6825343-8906
UT
363A00000X
Physician Assistant
MA053252
PA
363A00000X
Physician Assistant
Primary
PA10005327
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10005327
LICENSE
WA
Enumeration date
06/05/2008
Last updated
11/08/2013
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