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1528570934
CLAIRE E NICKLESS
MISSOULA, MT
NPI
1528570934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT 60002)
Enumeration Date
2017-10-26
Last Update Date
2021-06-22
Business Address
CLAIRE E NICKLESS PA-C
500 W BROADWAY ST
MISSOULA, MT 59802-4008
Phone number: 406-543-7271
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Mailing Address
CLAIRE E NICKLESS PA-C
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-543-7271
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