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1194147512
GERALDINE VICKERS
MIRAMAR, FL
NPI
1194147512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP007884)
Enumeration Date
2014-01-21
Last Update Date
2015-12-07
Business Address
-- GERALDINE VICKERS CRNP
3601 SW 160TH AVE SUITE 250
MIRAMAR, FL 33027-6308
Phone number: 877-866-7123
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Mailing Address
-- GERALDINE VICKERS CRNP
2 OLD ORCHARD LN
MOUNTAIN TOP, PA 18707-1741
Phone number: 570-793-4280
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