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1063069383
NICHOLAS E AUSTIN
LONGVIEW, WA
NPI
1063069383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60947788)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
NICHOLAS E AUSTIN PA
1706 WASHINGTON WAY
LONGVIEW, WA 98632-2952
Phone number: 360-423-0390
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Mailing Address
NICHOLAS E AUSTIN PA
PO BOX 1338
LONGVIEW, WA 98632-7785
Phone number: 360-423-0390
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