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1336659838
KELSY BRIKAY WASMUTH
MARYVILLE, IL
NPI
1336659838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016647)
Enumeration Date
2017-10-10
Last Update Date
2020-02-24
Business Address
KELSY BRIKAY WASMUTH FNP
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062-8560
Phone number: 618-288-3616
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Mailing Address
KELSY BRIKAY WASMUTH FNP
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062-8560
Phone number: 618-288-3616
Copy
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