KRYSTAL I LEA

JEFFERSON CITY, MO
NPI1720107139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2006030951)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
-- KRYSTAL I LEA LPN
210 HOOVER ST
JEFFERSON CITY, MO 65109-0800
Phone number: 573-632-4321
Mailing Address
-- KRYSTAL I LEA LPN
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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