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1851866735
KATIE NICHOLLS
TAYLORSVILLE, UT
NPI
1851866735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: UT 10970425-1206)
Enumeration Date
2018-10-08
Last Update Date
2019-11-27
Business Address
KATIE NICHOLLS PA-C
4745 S 3200 W
TAYLORSVILLE, UT 84129
Phone number: 801-964-6214
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Mailing Address
KATIE NICHOLLS PA-C
2621 S 3270 W
WEST VALLEY CITY, UT 84119-1119
Phone number: 385-261-2737
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