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1790318848
LAKESHA NICOLE BRISBANE
HOPKINSVILLE, KY
NPI
1790318848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3014418)
Enumeration Date
2020-02-18
Last Update Date
2022-09-16
Business Address
LAKESHA NICOLE BRISBANE
950 HIGHPOINT DR
HOPKINSVILLE, KY 42240-2570
Phone number: 731-394-1145
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Mailing Address
LAKESHA NICOLE BRISBANE
960 WOODY HILLS DR
CLARKSVILLE, TN 37040-4124
Phone number: 931-378-2405
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