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1457691602
STACEY NICHOLAS
BUFFALO, NY
NPI
1457691602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 297209)
Enumeration Date
2013-02-26
Last Update Date
2013-02-26
Business Address
STACEY NICHOLAS LPN
2040 SENECA ST
BUFFALO, NY 14210-2324
Phone number: 716-828-0560
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Mailing Address
STACEY NICHOLAS LPN
227 THORN AVE
ORCHARD PARK, NY 14127-2600
Phone number: 716-662-2040
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