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1194168567
LISA LYNN LEIBOLD
MOLINE, IL
NPI
1194168567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2013-04-16
Last Update Date
2013-04-16
Business Address
Miss LISA LYNN LEIBOLD RPSGT
4364 7TH ST
MOLINE, IL 61265-6867
Phone number: 309-762-2998
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Mailing Address
Miss LISA LYNN LEIBOLD RPSGT
4364 7TH ST
MOLINE, IL 61265-6867
Phone number: 309-762-2998
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