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1245768720
CHRISTOPHER GLENN NICHOLS
ELIZABETHTOWN, KY
NPI
1245768720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 9936)
Enumeration Date
2017-05-30
Last Update Date
2017-05-30
Business Address
CHRISTOPHER GLENN NICHOLS DMD
1602 LAKEWOOD DR
ELIZABETHTOWN, KY 42701-5458
Phone number: 270-737-3368
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Mailing Address
CHRISTOPHER GLENN NICHOLS DMD
1602 LAKEWOOD DR
ELIZABETHTOWN, KY 42701-5458
Phone number:
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