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1629782479
LISA MARIE POTTHOFF
SPRINGFIELD, MO
NPI
1629782479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2023000172)
Enumeration Date
2023-01-06
Last Update Date
2023-02-15
Business Address
LISA MARIE POTTHOFF NP-C
3801 S NATIONAL AVE STE 900
SPRINGFIELD, MO 65807-5210
Phone number: 417-875-3087
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Mailing Address
LISA MARIE POTTHOFF NP-C
PO BOX 802843
KANSAS CITY, MO 64180-2843
Phone number:
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