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Individual
MARISSA SCIACCA
Active
Individual
MARISSA SCIACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04834
NC
Other
Enumeration date
02/10/2014
Last updated
06/17/2016
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