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1124851092
MARISA MARIE LEBLANC
SAINT LOUIS, MO
NPI
1124851092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: WA AP61532651)
Enumeration Date
2024-08-24
Last Update Date
2024-08-27
Business Address
MARISA MARIE LEBLANC AGPCNP-BC
650 MARYVILLE UNIVERSITY DR
SAINT LOUIS, MO 63141-5849
Phone number: 800-627-9855
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Mailing Address
MARISA MARIE LEBLANC AGPCNP-BC
650 MARYVILLE UNIVERSITY DR
SAINT LOUIS, MO 63141-5849
Phone number:
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