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1376657197
VICTORIA GREEN NICKESON
FORT LAUDERDALE, FL
NPI
1376657197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9267571)
Enumeration Date
2006-08-18
Last Update Date
2023-03-17
Business Address
VICTORIA GREEN NICKESON N.P.
955 S FEDERAL HWY STE 215
FORT LAUDERDALE, FL 33316-1222
Phone number: 657-400-5180
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Mailing Address
VICTORIA GREEN NICKESON N.P.
3700 W SOVEREIGN PATH
LECANTO, FL 34461-8071
Phone number: 352-726-1731
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