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1629719950
NICOLE LYNN PETCKA
ATLANTA, GA
NPI
1629719950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
NICOLE LYNN PETCKA MD
H100 EMORY UNIVERSITY HOSPITAL 1364 CLIFTON ROAD NE
ATLANTA, GA 30322-0001
Phone number: 009-340-4727
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Mailing Address
NICOLE LYNN PETCKA MD
1280 LEAR LN APT 14
DE PERE, WI 54115-7262
Phone number: 920-883-8740
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