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Individual

MS. VICKI ANN ADSIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1114 BINGHAM AVE, JANESVILLE, WI 53546-2645
(608) 436-0300
Mailing address
1114 BINGHAM AVE, JANESVILLE, WI 53546-2645
(608) 436-0300

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27042
WI

Other

Enumeration date
02/18/2011
Last updated
02/18/2011
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