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1760049787
NICOLE D HALLFORD
DOTHAN, AL
NPI
1760049787
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Former Name
NICOLE D MAGGARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-172759)
Enumeration Date
2019-05-24
Last Update Date
2019-06-12
Business Address
NICOLE D HALLFORD CRNP
1118 ROSS CLARK CIR STE 704
DOTHAN, AL 36301-3030
Phone number: 334-699-6396
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Mailing Address
NICOLE D HALLFORD CRNP
1118 ROSS CLARK CIR STE 704
DOTHAN, AL 36301-3030
Phone number: 334-699-6396
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