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1063716736
KIMBERLY JOY NICKEY
PORT JEFFERSON, NY
NPI
1063716736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 634894-1)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
-- KIMBERLY JOY NICKEY R.N.
162 N COUNTRY RD
PORT JEFFERSON, NY 11777-2120
Phone number: 631-828-8013
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Mailing Address
-- KIMBERLY JOY NICKEY R.N.
162 N COUNTRY RD
PORT JEFFERSON, NY 11777-2120
Phone number: 631-828-8013
Copy
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