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1417433145
CAROLINA NICK
PINEHURST, NC
NPI
1417433145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA214771)
Enumeration Date
2018-07-16
Last Update Date
2024-05-24
Business Address
CAROLINA NICK PA
205 PAGE RD
PINEHURST, NC 28374-8749
Phone number: 910-235-3330
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Mailing Address
CAROLINA NICK PA
10215 SW HALL BLVD
TIGARD, OR 97223-8809
Phone number: 503-245-2415
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