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1811540966
MARSHELL LANE
CAPE GIRARDEAU, MO
NPI
1811540966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2010037468)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
MARSHELL LANE Nurse
760 S KINGSHIGHWAY ST STE F
CAPE GIRARDEAU, MO 63703-7676
Phone number: 573-335-4333
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Mailing Address
MARSHELL LANE Nurse
760 S KINGSHIGHWAY ST STE F
CAPE GIRARDEAU, MO 63703-7676
Phone number: 573-335-4333
Copy
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