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1285480236
AUSTIN LEE NICKELL
PHOENIX, AZ
NPI
1285480236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
Dr. AUSTIN LEE NICKELL MD
400 N 32ND ST
PHOENIX, AZ 85008-6205
Phone number: 602-839-3927
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Mailing Address
Dr. AUSTIN LEE NICKELL MD
100 W INDIAN SCHOOL RD UNIT 2076
PHOENIX, AZ 85013-0027
Phone number: 612-384-4682
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