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1386220259
CRYSTLE KAY LAUGAVITZ
GRANITE CITY, IL
NPI
1386220259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: IL 209023034)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
CRYSTLE KAY LAUGAVITZ PMHNP
2100 MADISON AVE
GRANITE CITY, IL 62040-4713
Phone number: 618-798-3000
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Mailing Address
CRYSTLE KAY LAUGAVITZ PMHNP
2945 CENTURY DR
GRANITE CITY, IL 62040-2141
Phone number: 618-304-5388
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