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1376168336
LYDA ERIN NICODEMUS
SPOKANE, WA
NPI
1376168336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP61025822)
Enumeration Date
2020-06-15
Last Update Date
2021-09-14
Business Address
LYDA ERIN NICODEMUS ARNP
9631 N NEVADA ST STE 300
SPOKANE, WA 99218-1193
Phone number: 509-465-3919
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Mailing Address
LYDA ERIN NICODEMUS ARNP
601 S SHERMAN ST # 201
SPOKANE, WA 99202-1311
Phone number: 509-473-0885
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