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1700238623
COURTNEY NICHOLAS
MEDFORD, NY
NPI
1700238623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY 307763)
Enumeration Date
2016-07-02
Last Update Date
2016-07-02
Business Address
COURTNEY NICHOLAS NP
1723 N OCEAN AVE
MEDFORD, NY 11763-2687
Phone number: 631-758-5858
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Mailing Address
COURTNEY NICHOLAS NP
1723 N OCEAN AVE
MEDFORD, NY 11763-2687
Phone number:
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