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Individual

ESMAEIL BEN KAMALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
725 S WEBSTER AVE STE 201, GREEN BAY, WI 54301-3500
(920) 430-7100
(920) 430-7114
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(678) 779-7038

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6627-33
WI

Other

Enumeration date
07/20/2015
Last updated
06/18/2019
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