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Individual

LAURA NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
7981 COLLINGTON POINTE WAY, BALDWINSVILLE, NY 13027-8462
(315) 447-3086

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/30/2016
Last updated
09/30/2016
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