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1427565068
WILLIAM ALEX NICODEMUS
PALESTINE, TX
NPI
1427565068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP135915)
Enumeration Date
2018-01-04
Last Update Date
2021-05-07
Business Address
WILLIAM ALEX NICODEMUS FNP-C
2900 S LOOP 256
PALESTINE, TX 75801-6958
Phone number: 903-731-1134
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Mailing Address
WILLIAM ALEX NICODEMUS FNP-C
3120 VAN ZANT COUNTY ROAD 2318
CANTON, TX 75103
Phone number: 903-479-3933
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