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Individual
MICHAEL FRESSOLA
Active
Individual
MICHAEL FRESSOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209007505
IL
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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