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1831851070
LISA MARIA PHILLIPS
KENOSHA, WI
NPI
1831851070
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Former Name
LISA MARIA PHILLIPS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 11220-33)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
LISA MARIA PHILLIPS FNP
7005 55TH ST
KENOSHA, WI 53144-3759
Phone number: 262-237-4714
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Mailing Address
LISA MARIA PHILLIPS FNP
7005 55TH ST
KENOSHA, WI 53144-3759
Phone number: 262-237-4714
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