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1538945894
KATHLEEN NICKOLES
LAFAYETTE, LA
NPI
1538945894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WV 108437)
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
KATHLEEN NICKOLES
901 HUGH WALLIS RD S
LAFAYETTE, LA 70508-2511
Phone number: 866-542-4768
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Mailing Address
KATHLEEN NICKOLES
66 RABBIT TRL
BERKELEY SPRINGS, WV 25411-6449
Phone number:
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