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Individual
NICOLE DAVIS
Active
Individual
NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4878
IA
208M00000X
Hospitalist Physician
4878
IA
Other
Enumeration date
03/07/2012
Last updated
02/07/2020
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