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1912955352
NICOLE A MORTIER
MEMPHIS, TN
NPI
1912955352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN 1173)
Enumeration Date
2006-05-05
Last Update Date
2007-07-08
Business Address
-- NICOLE A MORTIER PA
332 N LAUDERDALE ST
MEMPHIS, TN 38105-2794
Phone number: 901-495-3006
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Mailing Address
-- NICOLE A MORTIER PA
332 N LAUDERDALE ST
MEMPHIS, TN 38105-2794
Phone number: 901-495-3006
Copy
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