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1295025971
NICOLE SHANTEL JOLLEY
WASHINGTON, DC
NPI
1295025971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: VA 0129-00065)
Enumeration Date
2011-04-14
Last Update Date
2011-04-14
Business Address
-- NICOLE SHANTEL JOLLEY CPM
1221 G ST NE
WASHINGTON, DC 20002-4423
Phone number: 703-489-2585
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Mailing Address
-- NICOLE SHANTEL JOLLEY CPM
PO BOX 48502
WASHINGTON, DC 20002-0502
Phone number: 703-489-2585
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