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1619301561
KATHERINE NICKELL
DALLAS, TX
NPI
1619301561
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Former Name
KATHERINE RUZICKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX #PA 08198)
Enumeration Date
2013-08-28
Last Update Date
2014-01-14
Business Address
-- KATHERINE NICKELL MPAS, PA-C
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-809-6869
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Mailing Address
-- KATHERINE NICKELL MPAS, PA-C
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-809-6869
Copy
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