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1700659844
SHAN EDWARD NICKERSON
RENO, NV
NPI
1700659844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NV 864820)
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
SHAN EDWARD NICKERSON Registered Nurse
1201 CORPORATE BLVD
RENO, NV 89502-7177
Phone number: 775-786-7200
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Mailing Address
SHAN EDWARD NICKERSON Registered Nurse
2030 HARMONY VALLEY WAY
RENO, NV 89521-4522
Phone number: 530-366-6650
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