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Individual

ALEENA JO NOLASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5440 COACH LITE TRL, LOVES PARK, IL 61111-3516
(608) 445-2578
Mailing address
5440 COACH LITE TRL, LOVES PARK, IL 61111-3516
(608) 445-2578

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
251961
WI

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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