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Individual

NICOLE SUGAMELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3150 STARLINE DR, LAKE HAVASU CITY, AZ 86406-5400
(928) 505-1490
Mailing address
3220 THISTLE DR, LAKE HAVASU CITY, AZ 86406-5514
(928) 486-9983

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
07/24/2023
Last updated
07/24/2023
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