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1700558913
NICOLE FAHS
DOVER AFB, DE
NPI
1700558913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA 61224496)
Enumeration Date
2021-10-05
Last Update Date
2023-02-09
Business Address
NICOLE FAHS
300 TUSKEGEE BLVD # DE19902
DOVER AFB, DE 19902-5003
Phone number: 302-677-2574
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Mailing Address
NICOLE FAHS
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506-3702
Phone number: 907-580-2778
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