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1114998895
MICHAEL NICHOLS
SALEM, VA
NPI
1114998895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: VA 0110840493)
Enumeration Date
2006-01-30
Last Update Date
2008-05-02
Business Address
MICHAEL NICHOLS PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
MICHAEL NICHOLS PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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