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1578331542
NICKOLUS HIGHLAND
ROCHESTER, NY
NPI
1578331542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
NICKOLUS HIGHLAND
72 HINCHEY RD
ROCHESTER, NY 14624-2930
Phone number: 585-467-2230
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Mailing Address
NICKOLUS HIGHLAND
61 IVORY WAY
HENRIETTA, NY 14467-9515
Phone number: 517-626-0371
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