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MRS. JENNIFER JO OTT RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1710171368

Individual Registrant:
MRS. JENNIFER JO OTT RN
Gender: F
Sole Proprietor

Location and contact information for practice:
5073 SUNSET CIR  VESPER, WI 54489-9454 US
Tel: 715-569-4450  Fax: --

Contact information for business:
5073 SUNSET CIR  VESPER, WI 54489-9454 US
Tel: 715-569-4450  Fax: --

Registration Information:
NPI: 1710171368
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
WI
N163WH0200XNursing Service Providers
Registered Nurse
WI

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
35022400WI05




HEALTH CARE JOBS WI - Page 1



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