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Individual

DR. COURTNEY G NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
27378 W OVIATT RD, BAY VILLAGE, OH 44140-2139
(440) 871-4700
(440) 871-4702
Mailing address
6499 S MASON MONTGOMERY RD, SUITE C, MASON, OH 45040-1764
(513) 229-0101
(513) 860-1002

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-3269-N
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2294324
OH
Enumeration date
06/03/2006
Last updated
11/05/2007
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