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1194918771
KRISTI LYNN NICOL
CHARLOTTE, NC
NPI
1194918771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-00999)
Enumeration Date
2007-08-27
Last Update Date
2011-02-01
Business Address
-- KRISTI LYNN NICOL PA-C
4525 CAMERON VALLEY PKWY SUITE 1500
CHARLOTTE, NC 28211-3546
Phone number: 704-512-6240
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Mailing Address
-- KRISTI LYNN NICOL PA-C
PO BOX 601692
CHARLOTTE, NC 28260-1692
Phone number: 704-512-6240
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