Vivian Elaine Nickless I

Address: 1107 Gardenia Ln, Longview, TX 75601-4019
Phone: 3157276957

Vivian Elaine Nickless I (NPI# 1891876629, PAC ID# 9931175601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

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Street Address	1107 GARDENIA LN
City	LONGVIEW
State	TX
Zip	75601-4019

Data Provider	Centers for Medicare & Medicaid Services (CMS)
Jurisdiction	Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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