LEISA JAN BLUE

BONNE TERRE, MO
NPI1851342950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  089876)
Enumeration Date2006-05-13
Last Update Date2007-11-26
Business Address
-- LEISA JAN BLUE CFNP
55 NESBIT DR
BONNE TERRE, MO 63628-1353
Phone number: 573-358-1480
Mailing Address
-- LEISA JAN BLUE CFNP
7100 COMMERCE WAY SUITE 180
BRENTWOOD, TN 37027-2829
Phone number: 615-465-7000
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