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1992428817
NICOLE FAME DERBY
ALBANY, NY
NPI
1992428817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
NICOLE FAME DERBY PA-C
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206-1048
Phone number: 518-489-2666
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Mailing Address
NICOLE FAME DERBY PA-C
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206-1048
Phone number: 518-489-2666
Copy
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