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1396278248
NICOLE SCOTT
AUSTIN, TX
NPI
1396278248
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Former Name
NICOLE VICTORIA PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX S3873)
Enumeration Date
2017-04-07
Last Update Date
2021-08-12
Business Address
NICOLE SCOTT
4022 MENCHACA RD
AUSTIN, TX 78704-6746
Phone number: 512-982-4116
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Mailing Address
NICOLE SCOTT
4022 MENCHACA RD
AUSTIN, TX 78704-6746
Phone number: 512-982-4116
Copy
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