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Individual
NICOLE MCLAIN
Active
Individual
NICOLE MCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 25723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002420200
—
FL
Enumeration date
08/05/2010
Last updated
01/14/2013
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