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JULIEL OCAMPO RAVAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2323 GRAND AVE, WAUKEGAN, IL 60085-3312
(847) 666-3494
Mailing address
2323 GRAND AVE, WAUKEGAN, IL 60085-3312
(476) 663-4948

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041371036
IL
363LF0000X
Family Nurse Practitioner
Primary
209028153
IL

Other

Enumeration date
07/12/2022
Last updated
09/05/2023
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