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1427500537
NICHOLAS R DAWSON
ESPANOLA, NM
NPI
1427500537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2016-0070)
Enumeration Date
2016-10-25
Last Update Date
2024-10-30
Business Address
NICHOLAS R DAWSON PA
1010 SPRUCE ST 3RD FL AREA 1
ESPANOLA, NM 87532-2724
Phone number: 505-367-0340
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Mailing Address
NICHOLAS R DAWSON PA
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 956-566-3724
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