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1679010862
NICOLE MINNICK
CLEARWATER, FL
NPI
1679010862
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Former Name
NICOLE PRUSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9110085)
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
NICOLE MINNICK PA-C
300 PINELLAS ST # MS 36
CLEARWATER, FL 33756-3804
Phone number: 727-251-4112
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Mailing Address
NICOLE MINNICK PA-C
300 PINELLAS ST # MS 36
CLEARWATER, FL 33756-3804
Phone number: 727-251-4112
Copy
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