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1497528491
NICOLE CHISUM
DECATUR, TX
NPI
1497528491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1133002)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
NICOLE CHISUM NP
800 MEDICAL CENTER DR
DECATUR, TX 76234-3843
Phone number: 940-626-2110
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Mailing Address
NICOLE CHISUM NP
369 WISE RD
DECATUR, TX 76234-7643
Phone number: 940-393-3215
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