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1467893891
KITRA NICHOLS
COLUMBIA, SC
NPI
1467893891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18366)
Enumeration Date
2013-07-15
Last Update Date
2013-07-15
Business Address
-- KITRA NICHOLS FNP
166 STONERIDGE DR
COLUMBIA, SC 29210-8239
Phone number: 803-461-3000
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Mailing Address
-- KITRA NICHOLS FNP
166 STONERIDGE DR
COLUMBIA, SC 29210-8239
Phone number:
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