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1164840344
MICHAEL PAUL MCNICHOL
FORT SAM HOUSTON, TX
NPI
1164840344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-04-03
Last Update Date
2014-04-03
Business Address
-- MICHAEL PAUL MCNICHOL D.O
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-2460
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Mailing Address
-- MICHAEL PAUL MCNICHOL D.O
BROOKE ARMY MEDICAL CENTER MCHE-QD JBSA- FORT SAM HOUSTONTX
APO, AA 78234-4504
Phone number: 210-916-2460
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