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1003126913
DOUGLAS NICKELS
EVERETT, WA
NPI
1003126913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-10-13
Last Update Date
2010-10-13
Business Address
-- DOUGLAS NICKELS
4027 HOYT AVE
EVERETT, WA 98201-4972
Phone number: 425-259-0966
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Mailing Address
-- DOUGLAS NICKELS
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-258-3903
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