JESSIE MARIE KELLOGG

TOMAH, WI
NPI1508579103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA  G172333)
Enumeration Date2022-12-29
Last Update Date2022-12-29
Business Address
JESSIE MARIE KELLOGG
500 E VETERANS ST
TOMAH, WI 54660-3105
Phone number: 608-372-3971
Mailing Address
JESSIE MARIE KELLOGG
412 MCCAUL ST
TOMAH, WI 54660-1844
Phone number: 608-521-0193
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