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Individual

ELAYNA LEAH TEMARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 62269-1099
(618) 641-5803
Mailing address
3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 62269-1099
(618) 641-5803

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017252
IL

Other

Enumeration date
12/29/2017
Last updated
04/29/2022
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