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Individual
NICOLE CHRISTINE REESE
Active
Individual
NICOLE CHRISTINE REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN00142055
WA
311ZA0620X
Adult Care Home Facility
Primary
208501
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881236
—
WA
Enumeration date
06/17/2008
Last updated
06/17/2008
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