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1093595894
NICHOLAS ROBERT LAVIGNE
CHEHALIS, WA
NPI
1093595894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA LH00004836)
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
NICHOLAS ROBERT LAVIGNE PA
539 N MARKET BLVD STE C
CHEHALIS, WA 98532-2109
Phone number: 540-203-8697
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Mailing Address
NICHOLAS ROBERT LAVIGNE PA
100 N HOWARD ST STE R
SPOKANE, WA 99201-0508
Phone number: 540-999-5883
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