Individual
MARISSA DE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 GLENDON CT, DUBLIN, OH 43016-3246
(877) 641-2010
(330) 757-1412
Mailing address
5500 GLENDON CT, DUBLIN, OH 43016-3246
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
11/30/2018
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