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1245658335
JINNA LISENBE
ROLLA, MO
NPI
1245658335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2014004531)
Enumeration Date
2014-04-04
Last Update Date
2019-08-22
Business Address
JINNA LISENBE ANP
1060 W 10TH ST
ROLLA, MO 65401-2905
Phone number: 573-364-9000
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Mailing Address
JINNA LISENBE ANP
1050 W 10TH ST ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS
ROLLA, MO 65401-2905
Phone number: 573-364-9000
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