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1306676127
LISA MARIE KNIFONG
LEES SUMMIT, MO
NPI
1306676127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2024026245)
Enumeration Date
2024-08-06
Last Update Date
2024-08-07
Business Address
LISA MARIE KNIFONG FNP-C
211 NW EXECUTIVE WAY STE E
LEES SUMMIT, MO 64063-1846
Phone number: 816-509-3192
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Mailing Address
LISA MARIE KNIFONG FNP-C
1816 NE SPARTA DR
BLUE SPRINGS, MO 64029-7724
Phone number: 660-287-7753
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