Individual
MRS. LAURA JEAN MARASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
13478 RAVINE VIEW DR, GRAND HAVEN, MI 49417-9179
(616) 842-0275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034012
MI
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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