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Marissa Gall
Student in an Organized Health Care Education/Training Program in Kenosha, Wisconsin
NPI 1720779739

Marissa Gall is a Student in an Organized Health Care Education/Training Program based in Kenosha, WI. Marissa Gall practices in Kenosha, WI. The NPI Number for Marissa Gall is 1720779739 and holds a License No. (Wisconsin).

The current practice location address for Marissa Gall is 10108 74Th St, Kenosha, WI and can be reached out via phone at 262-694-6101.

Location: 10108 74Th St, Kenosha, WI, 53142-7514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720779739
Provider Name
Marissa Gall
Credential
Provider Entity Type
Individual
Gender
Female
Address
10108 74Th St, Kenosha, WI, 53142-7514
Phone Number
262-694-6101
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10108 74Th St
City
Kenosha
State
Wisconsin
Zip
53142-7514
Phone Number
262-694-6101
Fax Number
person
Provider Business Mailing Address Details
Address
10108 74Th St
City
Kenosha
State
Wisconsin
Zip
53142-7514
Phone Number
262-694-6101
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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