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1710598644
NICOLE DORA LICATO
RALEIGH, NC
NPI
1710598644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5013426)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
Dr. NICOLE DORA LICATO DNP, RN, FNP-BC
7200 CREEDMOOR RD STE 208
RALEIGH, NC 27613-1711
Phone number: 919-701-5157
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Mailing Address
Dr. NICOLE DORA LICATO DNP, RN, FNP-BC
20 MAYO ST APT A2
RALEIGH, NC 27603-1532
Phone number: 908-902-9580
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