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1114536075
PATRICK JOHN NICHOLSON
HAYESVILLE, NC
NPI
1114536075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6054)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
Mr. PATRICK JOHN NICHOLSON PTA
86 VALLEY HIDEAWAY DR
HAYESVILLE, NC 28904-9674
Phone number: 828-389-9941
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Mailing Address
Mr. PATRICK JOHN NICHOLSON PTA
132 GENERAL PEMBERTON ST
STANLEY, NC 28164-2202
Phone number: 704-689-4446
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