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Individual
NICOLE S CLEAVES
Active
Individual
NICOLE S CLEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
512300
CA
163W00000X
Registered Nurse
57655
NV
163WR0006X
Registered Nurse First Assistant
Primary
512300
CA
163WR0006X
Registered Nurse First Assistant
57655
NV
Other
Enumeration date
02/19/2008
Last updated
08/25/2010
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