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Brandon Nichols, LBA
NPI 1235621020 · on the registry since 2018 · sole proprietor
Practice
- Address
- 571 Morse Memorial Hwy
Olmstedville, NY 12857 - Phone
- (607) 434-5134
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York