Marlieke Nussenbaum

Medical doctor

North Augusta, United States

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Full name

Marlieke Nussenbaum

Job Title

Medical Doctor

Location

North Augusta, SC, USA

LIC ID

169046

Current License Expiration Date

31/01/2026

Original Date

22/09/2023

Professional Rank Code

Effective Date

22/09/2023

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

2000 Healthpark Drive

Practice Location Address City

BRENTWOOD

Practice Location Address State

Practice Location Address Zipcode

37027

Mode Code

NICA Exempt, In Training Program Receives Fee Reducti

Prescribing Indicator

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Marlieke Nussenbaum

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