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1255311528
JUDITH LYNN NICHOLS
ST AUGUSTINE, FL
NPI
1255311528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN978502)
Enumeration Date
2006-01-20
Last Update Date
2021-05-04
Business Address
JUDITH LYNN NICHOLS APRN
105 MARINER WAY STE 203
ST AUGUSTINE, FL 32086
Phone number: 904-342-2989
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Mailing Address
JUDITH LYNN NICHOLS APRN
PO BOX 3123
ST AUGUSTINE, FL 32085-3123
Phone number:
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