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1295923779
KELLIE J LUSTENBERGER
CARBONDALE, IL
NPI
1295923779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209006728)
Enumeration Date
2007-10-09
Last Update Date
2008-05-14
Business Address
-- KELLIE J LUSTENBERGER N.P.
305 W. JACKSON, SUITE 100 NEW HORIZONS OBSTETRICS & GYNECOLOGY
CARBONDALE, IL 62901
Phone number: 618-457-0404
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Mailing Address
-- KELLIE J LUSTENBERGER N.P.
305 W JACKSON ST STE 100
CARBONDALE, IL 62901-1474
Phone number: 618-457-0404
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