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1306106745
KYLEA LIESE
CHICAGO, IL
NPI
1306106745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
Enumeration Date
2012-05-18
Last Update Date
2019-06-24
Business Address
Prof. KYLEA LIESE PhD CNM
2233 W DIVISION ST
CHICAGO, IL 60622
Phone number: 312-770-2336
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Mailing Address
Prof. KYLEA LIESE PhD CNM
2233 W DIVISION ST
CHICAGO, IL 60622-8151
Phone number: 312-770-2336
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