Individual
MISS NICOLE L HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ROBIN AVE, S207, OSHKOSH, WI 54902-8765
(920) 236-9494
Mailing address
1800 ROBIN AVE, S207, OSHKOSH, WI 54902-8765
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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