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Individual

ALISA PALLISTER

Active
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Individual

ALISA PALLISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN, CCM, CNLCP

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
0970000215RN
OR
163WC1500X
Community Health Registered Nurse
Primary
0970000215RN
OR

Other

Enumeration date
12/12/2008
Last updated
12/12/2008
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