MISS Nickey Lee Paison

NPI #1528149945 in Racine, Wisconsin

Provider Information

NPI Number: 1528149945
Entity Type: Individual
Name: MISS Nickey Lee Paison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3501 WRIGHT AVE
City: Racine
State: Wisconsin
ZIP Code: 53405-3349
Phone: (262) 637-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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