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1114202108
KATHERINE M NICHOLS
JOHNSON CITY, NY
NPI
1114202108
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Former Name
KATHERINE RIVARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015153)
Enumeration Date
2011-10-21
Last Update Date
2021-10-26
Business Address
KATHERINE M NICHOLS PA
33-57 HARRISON ST
JOHNSON CITY, NY 13790-2107
Phone number: 607-763-5494
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Mailing Address
KATHERINE M NICHOLS PA
33 LEWIS RD 2ND FL
BINGHAMTON, NY 13905
Phone number: 607-770-0025
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