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1083668149
NICOLE WOOSNAM
LAS VEGAS, NV
NPI
1083668149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA600)
Enumeration Date
2006-05-20
Last Update Date
2013-01-02
Business Address
-- NICOLE WOOSNAM PAC
620 SHADOW LN
LAS VEGAS, NV 89106-4119
Phone number: 702-388-4500
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Mailing Address
-- NICOLE WOOSNAM PAC
5608 MAJESTIC TIDE AVE
LAS VEGAS, NV 89131-2517
Phone number: 702-531-8821
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