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1972984953
MICHELLE NICKELATTI GREEN
DALLAS, TX
NPI
1972984953
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Former Name
MICHELLE NICKELATTI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA09869)
Enumeration Date
2015-06-15
Last Update Date
2024-01-11
Business Address
MICHELLE NICKELATTI GREEN PA-C
3600 GASTON AVE WADLEY STE 550
DALLAS, TX 75246-1800
Phone number: 214-820-1335
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Mailing Address
MICHELLE NICKELATTI GREEN PA-C
3600 GASTON AVE STE 550
DALLAS, TX 75246-1905
Phone number: 214-821-1177
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