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Individual

MRS. KERISSA MEETTA DEESE-AJUFO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1315 MULBERRY ST, MONTGOMERY, AL 36106-1132
(334) 262-1113
Mailing address
8912 THOMPSON RIDGE LOOP, MONTGOMERY, AL 36117-8957
(334) 413-1660

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1552
AL

Other

Enumeration date
02/04/2020
Last updated
10/22/2025
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