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1912454406
LISA CHASTAIN
KENNETT, MO
NPI
1912454406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2011028017)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
Mrs. LISA CHASTAIN LPN
925 HIGHWAY V V
KENNETT, MO 63857-0071
Phone number: 573-359-2600
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Mailing Address
Mrs. LISA CHASTAIN LPN
925 HIGHWAY V V
KENNETT, MO 63857-0071
Phone number:
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