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1982477519
JOEY B. NICOLAS
CORVALLIS, OR
NPI
1982477519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201817652LPN)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
JOEY B. NICOLAS LPN
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-7722
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Mailing Address
JOEY B. NICOLAS LPN
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-7722
Copy
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