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1942523774
NICOLE NICHELLE IVEY
WACO, TX
NPI
1942523774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX AP130311)
Enumeration Date
2010-03-08
Last Update Date
2018-11-16
Business Address
Ms. NICOLE NICHELLE IVEY NP
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-202-5300
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Mailing Address
Ms. NICOLE NICHELLE IVEY NP
PO BOX 848491
DALLAS, TX 75284-8491
Phone number: 254-202-5300
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