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Individual

NICOLE YOUKANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
870 GOLD HILL RD # RE, 103, FORT MILL, SC 29708-8985
(803) 835-6000
Mailing address
10531 PACES AVE, 932, MATTHEWS, NC 28105-2719

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15857
NC

Other

Enumeration date
08/19/2015
Last updated
06/12/2016
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