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1821441601
NICHOLAS K. MICKELSON
TAMPA, FL
NPI
1821441601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 22135)
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
-- NICHOLAS K. MICKELSON DMD
10041 W HILLSBOROUGH AVE
TAMPA, FL 33615-3002
Phone number: 813-235-0957
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Mailing Address
-- NICHOLAS K. MICKELSON DMD
10041 W HILLSBOROUGH AVE
TAMPA, FL 33615-3002
Phone number:
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