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Individual

JILL O'LENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
N74W12501 LEATHERWOOD CT, MENOMONEE FALLS, WI 53051-4490
(414) 777-1206
Mailing address
2146 CELTIC CT, HARTFORD, WI 53027-9711
(414) 640-1909

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
103405-30
WI

Other

Enumeration date
04/11/2022
Last updated
04/11/2022
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