Individual
DAWN TOLLACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8118 BLAKTON RD, #303, MADISON, WI 53719-6106
(608) 606-2032
Mailing address
8118 BLAKTON RD, #303, MADISON, WI 53719-6106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
187006-30
WI
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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