JENNIJO CLARK

OSHKOSH, WI
NPI1265734354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  313347-31)
Enumeration Date2010-11-23
Last Update Date2010-11-23
Business Address
-- JENNIJO CLARK LPN
402 W SOUTH PARK AVE
OSHKOSH, WI 54902-6569
Phone number: 920-203-9055
Mailing Address
-- JENNIJO CLARK LPN
402 W SOUTH PARK AVE
OSHKOSH, WI 54902-6569
Phone number: 920-203-9055
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