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1366806838
KILEY M FAIRES
BELLEVILLE, IL
NPI
1366806838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209014128)
Enumeration Date
2016-04-11
Last Update Date
2021-02-04
Business Address
Mrs. KILEY M FAIRES FNP-BC
4600 MEMORIAL DRIVE STE 360
BELLEVILLE, IL 62226
Phone number: 618-222-7280
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Mailing Address
Mrs. KILEY M FAIRES FNP-BC
4600 MEMORIAL DRIVE STE 360
BELLEVILLE, IL 62226
Phone number: 618-222-7280
Copy
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