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Individual

ROCHELLE WOODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
15344 GREENWOOD RD, DOLTON, IL 60419-2833
(708) 299-8107
Mailing address
15344 GREENWOOD RD, DOLTON, IL 60419-2833
(708) 299-8107

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.104668
IL

Other

Enumeration date
05/18/2016
Last updated
05/18/2016
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