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1750522017
LOLA S RYAN
JEFFERSON CITY, MO
NPI
1750522017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2009006184)
Enumeration Date
2009-03-17
Last Update Date
2009-03-17
Business Address
LOLA S RYAN LPN
210 HOOVER ST
JEFFERSON CITY, MO 65109-0800
Phone number: 573-632-4321
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Mailing Address
LOLA S RYAN LPN
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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