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Individual
NICOLE E FRAILEY
Active
Individual
NICOLE E FRAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104877
—
WA
Enumeration date
02/03/2016
Last updated
07/31/2025
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