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1154082808
NICHOLAS M. FENWICK
SPRINGFIELD, IL
NPI
1154082808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209024523)
Enumeration Date
2022-01-05
Last Update Date
2023-02-03
Business Address
NICHOLAS M. FENWICK APRN
350 W CARPENTER ST
SPRINGFIELD, IL 62702-4902
Phone number: 217-528-7541
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Mailing Address
NICHOLAS M. FENWICK APRN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541
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