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1316437122
TERESA NICHOLSON
COVINGTON, GA
NPI
1316437122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN236153)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
TERESA NICHOLSON
175 KIRKLAND RD
COVINGTON, GA 30016-3317
Phone number: 678-209-2770
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Mailing Address
TERESA NICHOLSON
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-374-5199
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