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1972040830
NICOLE LYNNE NICKEL
WICHITA, KS
NPI
1972040830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KS 4049)
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
-- NICOLE LYNNE NICKEL SLP CCC
2258 N LAKEWAY CIR
WICHITA, KS 67205-1082
Phone number: 316-945-7117
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Mailing Address
-- NICOLE LYNNE NICKEL SLP CCC
3223 N OLIVER ST
WICHITA, KS 67220-2106
Phone number: 316-267-5437
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