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Individual

KRISTEN NAGRESKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
306 W MILL ST, CARBONDALE, IL 62901-2727
(618) 529-3060
Mailing address
1300 DURHAM ST, JOHNSTON CITY, IL 62951-2043

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
56008003
IL

Other

Enumeration date
03/13/2007
Last updated
11/07/2012
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