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Individual

MRS. JAMIE O'CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5735 S ILLINOIS AVE, CUDAHY, WI 53110-2523
(414) 763-1445
Mailing address
5735 S ILLINOIS AVE, CUDAHY, WI 53110-2523
(414) 763-1445

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162123-30
WI

Other

Enumeration date
08/21/2009
Last updated
08/21/2009
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