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1497757108
CARROLL JOHN NICKLE
VIRGINIA BEACH, VA
NPI
1497757108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: CO 19464)
Enumeration Date
2005-08-12
Last Update Date
2007-07-08
Business Address
Dr. CARROLL JOHN NICKLE D.O.
1224 CHATTINGHAM DR
VIRGINIA BEACH, VA 23464-5836
Phone number: 757-495-2719
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Mailing Address
Dr. CARROLL JOHN NICKLE D.O.
1224 CHATTINGHAM DR
VIRGINIA BEACH, VA 23464-5836
Phone number: 757-495-2719
Copy
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