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Individual
MR. ANDREJ NICKEL
Active
Individual
MR. ANDREJ NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EAMP, L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60656146
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC60616546
STATE LICENSE
WA
Enumeration date
12/10/2015
Last updated
03/13/2020
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