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1639698806
CASEY MICHELLE NICHOLS
CHARLESTON, SC
NPI
1639698806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21175)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
CASEY MICHELLE NICHOLS FNP
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-214-0927
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Mailing Address
CASEY MICHELLE NICHOLS FNP
110 GLENSPRING DR
SUMMERVILLE, SC 29486-2536
Phone number: 843-730-3473
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