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1063745602
EDWARD CLAY NICHOLS
WINNSBORO, LA
NPI
1063745602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA apo5939)
Enumeration Date
2009-09-15
Last Update Date
2009-09-15
Business Address
Mr. EDWARD CLAY NICHOLS FNP
3326 FRONT ST
WINNSBORO, LA 71295-6487
Phone number: 318-435-7333
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Mailing Address
Mr. EDWARD CLAY NICHOLS FNP
2375 HIGHWAY 130
WINNSBORO, LA 71295-7704
Phone number: 318-435-4064
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