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1700109816
TRISHA JO NICHOLAS
MALVERN, AR
NPI
1700109816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R73728)
Enumeration Date
2010-03-03
Last Update Date
2010-03-12
Business Address
TRISHA JO NICHOLAS RN
1615 MLK BLVD
MALVERN, AR 72104-2233
Phone number: 501-332-5236
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Mailing Address
TRISHA JO NICHOLAS RN
125 DONS WAY
HOT SPRINGS, AR 71913-6478
Phone number: 501-624-7111
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