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Individual

JOVITA ZALWANGO NASSOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
116 1/2 N BENTON ST APT 2D, WOODSTOCK, IL 60098-3272
(815) 245-6008
Mailing address
116 1/2 N BENTON ST APT 2D, WOODSTOCK, IL 60098-3272
(815) 245-8008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209021920
IL

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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