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Individual
MS. NICHOLE RENAE FRIESSEN
Active
Individual
MS. NICHOLE RENAE FRIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
001430
IA
363AS0400X
Surgical Physician Assistant
Primary
0631
SD
Other
Enumeration date
03/28/2006
Last updated
09/29/2010
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