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1134753825
KRYSTLE MICHELLE WISNASKY
SPRINGFIELD, IL
NPI
1134753825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.020939)
Enumeration Date
2020-03-03
Last Update Date
2024-09-11
Business Address
KRYSTLE MICHELLE WISNASKY FNP-BC
401 E CARPENTER ST
SPRINGFIELD, IL 62702-5104
Phone number: 217-528-7541
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Mailing Address
KRYSTLE MICHELLE WISNASKY FNP-BC
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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