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NPI Profile for IEASHA NICKELSON in BOLINGBROOK, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Occupational Health |
163WX0106X | |||
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory |
| NPI # | 1447901079 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 01/14/2022 | |
| Last updated | 01/14/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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IEASHA NICKELSON
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IEASHA NICKELSON, RN