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1316240500
THERESA MARIE LIPE
SULLIVAN, MO
NPI
1316240500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 064573)
Enumeration Date
2010-12-10
Last Update Date
2010-12-10
Business Address
-- THERESA MARIE LIPE nurse practitioner
6631 HWY AC
SULLIVAN, MO 63080-3508
Phone number: 573-457-8369
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Mailing Address
-- THERESA MARIE LIPE nurse practitioner
6631 HWY AC
SULLIVAN, MO 63080-3508
Phone number: 573-457-8369
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