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1760694954
LISA J SMITH
CHESTERFIELD, MO
NPI
1760694954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: MO R3N29)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Mrs. LISA J SMITH RN,MSN,NP
17300 N. OUTER 40 STE 100
CHESTERFIELD, MO 63005
Phone number: 636-519-8889
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Mailing Address
Mrs. LISA J SMITH RN,MSN,NP
18926 WILDHORSE CREEK
WILDWOOD, MO 63005
Phone number: 636-519-4084
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