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1811497001
NICHOLAS RAYMOND PRIMM
HAMMOND, LA
NPI
1811497001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-02-14
Last Update Date
2018-02-14
Business Address
NICHOLAS RAYMOND PRIMM
86 JOE IVERSTINE PL
HAMMOND, LA 70401-2386
Phone number: 985-237-2670
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Mailing Address
NICHOLAS RAYMOND PRIMM
86 JOE IVERSTINE PL
HAMMOND, LA 70401-2386
Phone number: 985-237-2670
Copy
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