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1356457147
NICOLE MARIE FAVA
ASHEVILLE, NC
NPI
1356457147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-07893)
Enumeration Date
2006-08-22
Last Update Date
2018-03-28
Business Address
NICOLE MARIE FAVA ATC
111 VICTORIA RD
ASHEVILLE, NC 28801-4811
Phone number: 828-252-7331
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Mailing Address
NICOLE MARIE FAVA ATC
623 HAW CREEK MEWS PL
ASHEVILLE, NC 28805-7902
Phone number: 919-619-4837
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