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1912418039
LISA ANN GAULT
FARMINGTON, MO
NPI
1912418039
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Former Name
LISA ANN CLANCY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2017-10-16
Last Update Date
2017-11-03
Business Address
Mrs. LISA ANN GAULT
1085 MAPLE ST
FARMINGTON, MO 63640-1955
Phone number: 573-756-5353
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Mailing Address
Mrs. LISA ANN GAULT
1085 MAPLE ST
FARMINGTON, MO 63640-1955
Phone number: 573-756-5363
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