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1700122959
NICOLE CHRISTINE HEIDENREICH
WASHINGTON, DC
NPI
1700122959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C05842)
Enumeration Date
2012-12-17
Last Update Date
2015-09-15
Business Address
-- NICOLE CHRISTINE HEIDENREICH PA-C
110 IRVING ST NW DEPARTMENT OF NEUROSURGERY - ATTN GLORIA GOYONAGA
WASHINGTON, DC 20010-3017
Phone number: 877-202-5111
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Mailing Address
-- NICOLE CHRISTINE HEIDENREICH PA-C
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 443-939-5817
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