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1104681683
TINA KAY NICHOLS
WICHITA, KS
NPI
1104681683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: KS 23-47333-121)
Enumeration Date
2024-02-14
Last Update Date
2024-02-14
Business Address
TINA KAY NICHOLS LPN, I.V.
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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Mailing Address
TINA KAY NICHOLS LPN, I.V.
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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