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1144503301
LISA CAPPS
GLEN ELLYN, IL
NPI
1144503301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008654)
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
-- LISA CAPPS
324 ROOSEVELT RD
GLEN ELLYN, IL 60137-5647
Phone number: 866-825-3227
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Mailing Address
-- LISA CAPPS
161 WASHINGTON ST EIGHT TOWER SUITE 1400
CONSHOHOCKEN, PA 19428-2083
Phone number:
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