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Individual

MISS JODIE LYNN WINTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
542 CAMELOT CT APT 1, OSHKOSH, WI 54901-1880
(920) 232-8118
Mailing address
3797 WESTERN CT, OSHKOSH, WI 54901-1196
(920) 277-4864

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38276300
WI
Enumeration date
04/26/2007
Last updated
07/09/2007
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