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Individual

NICOLE MARIA FRUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
6018 SANDY SPRINGS CIR, ATLANTA, GA 30328-3832
(404) 256-5149
Mailing address
6018 SANDY SPRINGS CIR, ATLANTA, GA 30328-3832
(404) 256-5149

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3927
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SA1062
SC
Enumeration date
01/14/2010
Last updated
05/21/2014
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