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Individual
DR. NICOLE GEORGETTE PAXTON
Active
Individual
DR. NICOLE GEORGETTE PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010422
IL
111N00000X
Chiropractor
038.010422
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030140272
BCBS
IL
Enumeration date
08/01/2006
Last updated
12/17/2018
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