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1376171298
NATHAN VICKNAIR
PUEBLO, CO
NPI
1376171298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2023-09-20
Business Address
Dr. NATHAN VICKNAIR Student
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4000
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Mailing Address
Dr. NATHAN VICKNAIR Student
216 W 10TH AVE STE 202
KENNEWICK, WA 99336-6304
Phone number: 509-221-5510
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