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1023230414
PATRICIA M NICKLAS
NORTH CHARLESTON, SC
NPI
1023230414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OH 30-020038)
Enumeration Date
2007-05-03
Last Update Date
2010-12-29
Business Address
PATRICIA M NICKLAS DDS
6035 RIVERS AVE STE A
NORTH CHARLESTON, SC 29406-5018
Phone number: 843-572-9909
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Mailing Address
PATRICIA M NICKLAS DDS
201 W 8TH ST SUITE 810
PUEBLO, CO 81003-3038
Phone number: 719-562-4447
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