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1144876319
KELSEY MARIE LISIUS-BLAMOUN
BETTENDORF, IA
NPI
1144876319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: IA H158753)
Enumeration Date
2019-08-14
Last Update Date
2024-03-13
Business Address
Dr. KELSEY MARIE LISIUS-BLAMOUN DNP
2730 CROW CREEK RD
BETTENDORF, IA 52722-2066
Phone number: 309-798-8468
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Mailing Address
Dr. KELSEY MARIE LISIUS-BLAMOUN DNP
PO BOX 735379
CHICAGO, IL 60673-5379
Phone number: 309-798-8468
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