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1336997691
ADDIE ELIZABETH CARLYLE
CAPE GIRARDEAU, MO
NPI
1336997691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2023026241)
Enumeration Date
2024-05-10
Last Update Date
2024-05-17
Business Address
ADDIE ELIZABETH CARLYLE
3095 LEXINGTON AVE STE 200
CAPE GIRARDEAU, MO 63701-2629
Phone number: 573-987-5355
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Mailing Address
ADDIE ELIZABETH CARLYLE
7972 STATE HIGHWAY 77
ORAN, MO 63771-9184
Phone number: 573-986-8951
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