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1265157440
NICOLE KAY DETWEILER
HOUSTON, TX
NPI
1265157440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1096254)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
NICOLE KAY DETWEILER APRN-CNP
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-704-6576
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Mailing Address
NICOLE KAY DETWEILER APRN-CNP
1414 N SHEPHERD DR APT 401
HOUSTON, TX 77008-4092
Phone number: 724-396-6066
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