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Individual

VINCENT FRANCIS ZAWLOCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
(920) 733-4796
Mailing address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
(920) 733-4796

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309981
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42030100
WI
Enumeration date
05/26/2009
Last updated
05/26/2009
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