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1174307557
RIKELLE WUSSOW
SANTA MONICA, CA
NPI
1174307557
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Former Name
RIKELLE SHOLD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95026825)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
RIKELLE WUSSOW NP
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2303
Phone number: 608-438-7119
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Mailing Address
RIKELLE WUSSOW NP
519 CALIFORNIA AVE APT 203
SANTA MONICA, CA 90403-3944
Phone number: 608-438-7119
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