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1699290353
CODY NICHOLAS HARRELL
FRESNO, CA
NPI
1699290353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95006750)
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
CODY NICHOLAS HARRELL NP
290 N WAYTE LN # 2400
FRESNO, CA 93701-2124
Phone number: 559-459-6168
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Mailing Address
CODY NICHOLAS HARRELL NP
3240 FINCHWOOD AVE
CLOVIS, CA 93619-8933
Phone number: 559-589-5064
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