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1336572841
NICKLITA TAMICA NELSON
BRONX, NY
NPI
1336572841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 404548)
Enumeration Date
2013-08-20
Last Update Date
2022-11-09
Business Address
Ms. NICKLITA TAMICA NELSON
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
Ms. NICKLITA TAMICA NELSON
11841 199TH ST
SAINT ALBANS, NY 11412-3429
Phone number: 929-257-7039
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