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1679656920
NICOLE L FETTERS
OKLAHOMA CITY, OK
NPI
1679656920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1102)
Enumeration Date
2006-10-23
Last Update Date
2008-07-03
Business Address
-- NICOLE L FETTERS PA-C
900 NE 10TH ST
OKLAHOMA CITY, OK 73104-5420
Phone number: 405-271-4311
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Mailing Address
-- NICOLE L FETTERS PA-C
1122 NE 13TH ST ORI 236
OKLAHOMA CITY, OK 73117-1039
Phone number: 405-271-1515
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