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1720786486
KRYSTAL MAZZULLA
KENOSHA, WI
NPI
1720786486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: WI 220566)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
KRYSTAL MAZZULLA RN
3825 39TH AVE STE 120
KENOSHA, WI 53144-2043
Phone number: 262-946-5752
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Mailing Address
KRYSTAL MAZZULLA RN
3825 39TH AVE STE 120
KENOSHA, WI 53144-2043
Phone number: 262-946-5752
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