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1205010170
KATIE NICOSIA
NEWBERG, OR
NPI
1205010170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200750105NP)
Enumeration Date
2007-12-27
Last Update Date
2020-03-06
Business Address
KATIE NICOSIA FNP
470 N VILLA RD
NEWBERG, OR 97132-1858
Phone number: 503-406-1009
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Mailing Address
KATIE NICOSIA FNP
470 N VILLA RD
NEWBERG, OR 97132-1858
Phone number: 503-406-1009
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