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Individual
NICOLE S. DAVIS
Active
Individual
NICOLE S. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743285
PROFESSIONAL TEACHER CERTIFICATION
NY
Enumeration date
06/10/2012
Last updated
06/10/2012
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