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Individual
HEATH NICHOLS
Active
Individual
HEATH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
RRT.L01678
LA
242T00000X
Perfusionist
Primary
PEF.200133
LA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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