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Individual
MARCIANNA WATT
Active
Individual
MARCIANNA WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
738835-1
NY
164W00000X
Licensed Practical Nurse
323019-1
NY
Other
Enumeration date
12/28/2016
Last updated
09/01/2017
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