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Individual

MRS. VICKI L FITZSIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
N7354 COUNTY ROAD A, JOHNSON CREEK, WI 53038-9737
(920) 699-3514
(920) 699-3514
Mailing address
N7354 COUNTY ROAD A, JOHNSON CREEK, WI 53038-9737
(920) 699-3514
(920) 699-3514

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041283255
IL
163W00000X
Registered Nurse
Primary
190858-30
WI

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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