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Individual

ELIZABETH ANN MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
15330 TOP DR, SAINT ROBERT, MO 65584-3760
(573) 855-7667
Mailing address
15330 TOP DR, SAINT ROBERT, MO 65584-3760
(573) 855-7667

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2007006244
MO

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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