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Individual

MRS. ANGELA SISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
212 S MADISON ST, BRAINARD, NE 68626-3515
(402) 545-2081
(402) 545-2023
Mailing address
PO BOX 36, BRAINARD, NE 68626-0036
(402) 545-2081
(402) 545-2023

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10401
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470466022
NE
Enumeration date
01/28/2022
Last updated
01/28/2022
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