Individual
JULIA MARIE LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
923 BROOKDALE CT, O FALLON, IL 62269-7523
(843) 377-6024
Mailing address
923 BROOKDALE COURT, O FALLON, IL 62269
(843) 377-6024
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
041.398339
IL
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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