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1619548872
JNICHOLAS FNP LLC
BREAUX BRIDGE, LA
NPI
1619548872
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Entity Type
Organization
Authorized Contact
JULIE O NICHOLAS
Sole Member/Owner
337-274-2783
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2021-07-08
Last Update Date
2021-07-08
Business Address
JNICHOLAS FNP LLC
606 LATIOLAIS DR
BREAUX BRIDGE, LA 70517-4231
Phone number: 337-274-2783
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Mailing Address
JNICHOLAS FNP LLC
400 HIGHWAY 1252
CARENCRO, LA 70520-5360
Phone number: 337-274-2783
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