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1619737350
NICOLE FAKES
CONROE, TX
NPI
1619737350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10090257)
Enumeration Date
2024-03-20
Last Update Date
2024-05-07
Business Address
NICOLE FAKES DO
605 S CONROE MEDICAL DR
CONROE, TX 77304-4722
Phone number: 936-539-4004
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Mailing Address
NICOLE FAKES DO
605 S CONROE MEDICAL DR
CONROE, TX 77304-4722
Phone number: 936-539-4004
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