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Individual
MARSHA BOSSEAU
Active
Individual
MARSHA BOSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041411812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.411812
STATE OF ILLINOIS
IL
01
—
041411812
STATES OF ILL
IL
Enumeration date
12/21/2022
Last updated
12/21/2022
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