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1780391219
JACQUELINE DIANE LEASURE
COLUMBIA, MO
NPI
1780391219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2022042339)
Enumeration Date
2022-11-03
Last Update Date
2022-11-28
Business Address
JACQUELINE DIANE LEASURE FNP
551 VETERANS UNITED DR
COLUMBIA, MO 65201-4236
Phone number: 573-884-7733
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Mailing Address
JACQUELINE DIANE LEASURE FNP
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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