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1265962500
NICKALAUS PHILLIP SWAN
FORT WORTH, TX
NPI
1265962500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP137514)
Enumeration Date
2017-06-19
Last Update Date
2018-08-30
Business Address
Mr. NICKALAUS PHILLIP SWAN NP
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Phone number: 972-281-7071
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Mailing Address
Mr. NICKALAUS PHILLIP SWAN NP
3804 ROCK BLUFF DR
DALLAS, TX 75227-5661
Phone number: 972-281-7071
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