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1609329572
ELIZABETH FANCHER
FORT LEONARD WOOD, MO
NPI
1609329572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 204014608)
Enumeration Date
2016-07-27
Last Update Date
2023-02-14
Business Address
Ms. ELIZABETH FANCHER
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 735-961-6805
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Mailing Address
Ms. ELIZABETH FANCHER
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-1680
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