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1821564212
TALISHA NICHOLS
MUSKOGEE, OK
NPI
1821564212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 109621)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
TALISHA NICHOLS APRN
1001 S 41ST ST E
MUSKOGEE, OK 74403-6253
Phone number: 918-781-6500
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Mailing Address
TALISHA NICHOLS APRN
25860 S RIDGEVIEW DR
CLAREMORE, OK 74019-2399
Phone number: 918-352-1530
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