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1922348002
LAURA E. MCKINZIE
MARYVILLE, IL
NPI
1922348002
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Former Name
LAURA E BRAGEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209-010209)
Enumeration Date
2013-02-26
Last Update Date
2022-06-22
Business Address
LAURA E. MCKINZIE NP
6812 STATE ROUTE 162 SUITE 21
MARYVILLE, IL 62062-8553
Phone number: 618-288-7855
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Mailing Address
LAURA E. MCKINZIE NP
4955 S STATE ROUTE 159 UNIT 1
GLEN CARBON, IL 62034-1907
Phone number: 618-288-7855
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