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1013439777
KATHY LIEFER
O FALLON, IL
NPI
1013439777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209015891)
Enumeration Date
2017-07-13
Last Update Date
2018-06-16
Business Address
KATHY LIEFER Nurse Practitioner
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269-1099
Phone number: 618-641-5803
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Mailing Address
KATHY LIEFER Nurse Practitioner
3 SAINT ELIZABETH BLVD STE 5000
O FALLON, IL 62269-1099
Phone number: 618-641-5803
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