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Individual

MRS. VICTORIA ANN KNULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
126 HOWARD ST, WALWORTH, WI 53184-9509
(262) 394-5011
Mailing address
126 HOWARD ST, WALWORTH, WI 53184-9509
(262) 394-5011

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-334607
IL
163W00000X
Registered Nurse
Primary
135228-030
WI
163W00000X
Registered Nurse
587658-1
NY
163W00000X
Registered Nurse
627828
CA

Other

Enumeration date
03/05/2009
Last updated
03/05/2009
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