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1255824611
NICOLE MEGAN PORTELA
GREENVILLE, SC
NPI
1255824611
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Former Name
NICOLE MEGAN RAGARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21951)
Enumeration Date
2018-06-11
Last Update Date
2024-02-20
Business Address
NICOLE MEGAN PORTELA NP
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615-6324
Phone number: 864-454-8272
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Mailing Address
NICOLE MEGAN PORTELA NP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-695-6294
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