Individual
MR. CAMERON NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 N COLUMBIA RD STOP 9037, GRAND FORKS, ND 58202-9037
(501) 240-0317
Mailing address
1220 55TH AVE S APT 205, GRAND FORKS, ND 58201-9270
(501) 240-0317
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
2255A2300X
Athletic Trainer
Primary
—
ND
Other
Enumeration date
05/16/2016
Last updated
04/22/2020
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