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1538421706
LAURA NICHOLS REGINBALD
CUMMING, GA
NPI
1538421706
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Former Name
LAURA LAJEAN NICHOLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN200861)
Enumeration Date
2012-06-13
Last Update Date
2018-08-16
Business Address
LAURA NICHOLS REGINBALD NP-C
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Phone number: 770-844-3200
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Mailing Address
LAURA NICHOLS REGINBALD NP-C
1400 NORTHSIDE FORSYTH DR SUITE 310
CUMMING, GA 30041-7668
Phone number: 404-365-0966
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