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Individual
NICOLE ELIZABETH HOOVER
Active
Individual
NICOLE ELIZABETH HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002532
CT
363AM0700X
Medical Physician Assistant
002532
CT
363AS0400X
Surgical Physician Assistant
Primary
002532
CT
Other
Enumeration date
01/27/2011
Last updated
05/04/2015
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