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1083063028
LILIA MANGELSDORF
LOUISVILLE, KY
NPI
1083063028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 3010271)
Enumeration Date
2016-06-09
Last Update Date
2017-03-24
Business Address
LILIA MANGELSDORF APRN
4420 DIXIE HIGHWAY SUITE 114
LOUISVILLE, KY 40216-2926
Phone number: 502-449-6464
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Mailing Address
LILIA MANGELSDORF APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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