Olivia Nanette Dalmasso LPN

NPI 1114171485 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1114171485
Gender Female
Enumeration Date 11/12/2008
Last Updated 11/12/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
MOUNT VERNON IL, 62864-5924, US
Phone (618) 244-6544
Business Location
PO BOX 155
CHRISTOPHER IL, 62822-0155, US
Phone (618) 724-2436
Taxonomy Code 164W00000X
License State Illinois
License Number 043105177
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According to our database, Olivia Nanette Dalmasso LPN NPI is 1114171485, taxonomy code is 164W00000X and license number is 043105177, license state is located at Illinois. Olivia Nanette Dalmasso LPN physically located at 2920 Veterans Memorial Dr, Mount Vernon IL, 62864-5924. NPI Number Olivia Nanette Dalmasso LPN has the Individual type.

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1114171485 NPI number is provided on an as is basis without warranty of any kind. 1114171485 is maintained by the National Plan & Provider Enumeration System. The contents of Olivia Nanette Dalmasso LPN are for informational purposes only.