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1134383219
JOHN KENNETH NICKLES
GREENVILLE, SC
NPI
1134383219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SC 1995)
Enumeration Date
2008-07-17
Last Update Date
2008-07-17
Business Address
Dr. JOHN KENNETH NICKLES DMD
413 VARDRY ST STE 3 A
GREENVILLE, SC 29601-3331
Phone number: 864-271-7198
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Mailing Address
Dr. JOHN KENNETH NICKLES DMD
413 VARDRY ST STE 3 A
GREENVILLE, SC 29601-3331
Phone number: 864-271-7198
Copy
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