BEGIN:VCARD VERSION:3.0 FN:Nicole Karayan N:Karayan;Nicole;;; TITLE:Physician Assistant TEL;TYPE=WORK,VOICE:+18056828844 URL:https://www.gale.care/providers/ca/goleta/nicole-karayan-1538885769 NOTE:NPI 1538885769. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1538885769 END:VCARD