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Nursing Service Providers Registered Nurse Case Management

Provider NPI: 1750658522

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 920-906-5100  Fax: --

Business Mailing Address:
Tel: --  Fax: --

NPI Information:
NPI: 1750658522
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC0400XNursing Service Providers
Registered Nurse
Case Management

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WC0400X





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