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Individual

MARISSA ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
903 DAKOTA CIR, NAPERVILLE, IL 60563-1496
(630) 207-7468
Mailing address
903 DAKOTA CIR, NAPERVILLE, IL 60563-1496
(630) 207-7468

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/11/2015
Last updated
03/11/2015
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