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1750557187
PHEDELINE NICHOLAS
LITHONIA, GA
NPI
1750557187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 216596-1)
Enumeration Date
2008-05-06
Last Update Date
2008-05-06
Business Address
-- PHEDELINE NICHOLAS
1746 PLEASANT HILL TRL
LITHONIA, GA 30058-5819
Phone number: 718-519-7672
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Mailing Address
-- PHEDELINE NICHOLAS
1746 PLEASANT HILL TRL
LITHONIA, GA 30058-5819
Phone number:
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