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1669002978
CHARLES J LEISTNER
LAWRENCE, KS
NPI
1669002978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-79245-121)
Enumeration Date
2020-01-26
Last Update Date
2020-01-26
Business Address
CHARLES J LEISTNER APRN
776 E 1485 RD
LAWRENCE, KS 66046-9265
Phone number: 785-917-1866
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Mailing Address
CHARLES J LEISTNER APRN
776 E 1485 RD
LAWRENCE, KS 66046-9265
Phone number: 785-917-1866
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