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1548246747
LYREVA J CLARK
HANNIBAL, MO
NPI
1548246747
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Former Name
LYREVA J NOLLETTE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2003005715)
Enumeration Date
2005-12-20
Last Update Date
2022-09-28
Business Address
LYREVA J CLARK RNFNP-C
6500 HOSPITAL DR
HANNIBAL, MO 63401-6890
Phone number: 573-629-3400
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Mailing Address
LYREVA J CLARK RNFNP-C
PO BOX 551
HANNIBAL, MO 63401-0551
Phone number: 573-588-4134
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