Individual
MISS DEBRA ANN OZBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1153 BOUGHTON ST APT 11H, WATERTOWN, WI 53094-3109
(920) 220-9317
Mailing address
1153 BOUGHTON ST APT 11H, WATERTOWN, WI 53094-3109
(920) 220-9317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308281-031
WI
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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