Jennijo Clark, LPN | |
402 W South Park Ave, Oshkosh, WI 54902-6569 | |
(920) 203-9055 | |
Not Available |
Full Name | Jennijo Clark |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 402 W South Park Ave, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265734354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 313347-31 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Jennijo Clark, LPN 402 W South Park Ave, Oshkosh, WI 54902-6569 Ph: (920) 203-9055 | Jennijo Clark, LPN 402 W South Park Ave, Oshkosh, WI 54902-6569 Ph: (920) 203-9055 |
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