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Individual

KIPNGETICH N KORIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1067 VERMILLION ST, PLANO, IL 60545-3027
(517) 575-7523
Mailing address
1067 VERMILLION ST, PLANO, IL 60545-3027
(517) 575-7523

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
234621-30
WI

Other

Enumeration date
02/18/2021
Last updated
02/18/2021
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