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1679239974
STACEY NICKERSON
GREENSBORO, NC
NPI
1679239974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: NC HC6258)
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
STACEY NICKERSON
2751 PATTERSON ST # 105
GREENSBORO, NC 27407-2336
Phone number: 336-588-8268
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Mailing Address
STACEY NICKERSON
1507 VANCE ST
GREENSBORO, NC 27406-2365
Phone number: 336-588-8268
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