JACY ADAM NICHOLSON

VINCENNES, IN
NPI1306282918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12011947A)
Enumeration Date2013-05-22
Last Update Date2013-05-22
Business Address
-- JACY ADAM NICHOLSON D.D.S.
630 KIMMELL RD SUITE C
VINCENNES, IN 47591-6330
Phone number: 812-316-2013
Mailing Address
-- JACY ADAM NICHOLSON D.D.S.
3676 W 200S
JASPER, IN 47546-8200
Phone number: 812-661-0024