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Individual

ELISE RACHEL MARCUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1112 GRACIE PL, GOLDSBORO, NC 27534-2260
(919) 735-1635
Mailing address
4701 SOUTHWESTERN BLVD APT C6, HAMBURG, NY 14075-1872

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001016422
NC

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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