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1114091212
LISA RENEE NORDBERG
SAINT JOSEPH, MO
NPI
1114091212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2000172096)
Enumeration Date
2006-11-20
Last Update Date
2019-10-23
Business Address
Dr. LISA RENEE NORDBERG DO
3949 SHERMAN AVE
SAINT JOSEPH, MO 64506-3649
Phone number: 816-279-4882
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Mailing Address
Dr. LISA RENEE NORDBERG DO
3949 SHERMAN AVE
SAINT JOSEPH, MO 64506-3649
Phone number: 816-279-4882
Copy
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