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1659724946
LISA MENGWASSER
FARMINGTON, MO
NPI
1659724946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 105320)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
-- LISA MENGWASSER FNP
555 W PINE ST
FARMINGTON, MO 63640-1439
Phone number: 573-747-1510
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Mailing Address
-- LISA MENGWASSER FNP
555 W PINE ST
FARMINGTON, MO 63640-1439
Phone number: 573-747-1510
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