Michael Nichols

NPI #1568818458 in Osceola, Arkansas

Provider Information

NPI Number: 1568818458
Entity Type: Individual
Name: Michael Nichols
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: May 10, 2016
Last Updated: May 10, 2016

Practice Location

Address: 114 W CHERYL ST
City: Osceola
State: Arkansas
ZIP Code: 72370-2837
Phone: (870) 622-0073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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