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1083978837
JENNIFER LYNN NICHOLAS
CLARKSTON, WA
NPI
1083978837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP60299874)
Enumeration Date
2012-06-26
Last Update Date
2019-12-30
Business Address
JENNIFER LYNN NICHOLAS FNP
1433 5TH ST
CLARKSTON, WA 99403-2714
Phone number: 509-758-5141
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Mailing Address
JENNIFER LYNN NICHOLAS FNP
1433 5TH ST
CLARKSTON, WA 99403-2714
Phone number: 509-758-5141
Copy
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