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Individual

DEBORA ANITA NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2400 HOSPITAL ROAD, TUSKEGEE, AL 36083
(334) 727-0550
Mailing address
131 MCMILLAN ROAD, NOTASULGA, AL 36866
(334) 727-0550

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10492
AL

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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