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1386182798
LISA SMITH
MARION, IL
NPI
1386182798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043074883)
Enumeration Date
2017-02-06
Last Update Date
2022-12-08
Business Address
LISA SMITH
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
LISA SMITH
1505 E MAIN ST
WEST FRANKFORT, IL 62896-1602
Phone number: 727-452-9033
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