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1568071223
STACEY NICHOLS
FORT COLLINS, CO
NPI
1568071223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO OT.0002710)
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
STACEY NICHOLS MS OTR/L
1573 CAMPUS DELIVERY COLORADO STATE UNIVERSITY
FORT COLLINS, CO 80523-0001
Phone number: 970-491-6669
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Mailing Address
STACEY NICHOLS MS OTR/L
144 N MCKINLEY AVE
FORT COLLINS, CO 80521-2320
Phone number: 614-204-3248
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