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Individual

KEISHA DANIELLE MARSOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
405 MAGRILL ST, LONGVIEW, TX 75601-6445
(903) 833-9875
(903) 209-2875
Mailing address
7594 STATE HIGHWAY 155 N, GILMER, TX 75644-6244
(903) 452-0680

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1095530
TX

Other

Enumeration date
09/01/2022
Last updated
02/13/2025
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