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1528007705
NICHOLAS C VANCE
FAIRMONT, WV
NPI
1528007705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV Q48962)
Enumeration Date
2006-06-05
Last Update Date
2007-11-29
Business Address
Mr. NICHOLAS C VANCE PA
1325 LOCUST AVE
FAIRMONT, WV 26554-1435
Phone number: 304-367-7100
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Mailing Address
Mr. NICHOLAS C VANCE PA
PO BOX 634715
CINCINNATI, OH 45263-0001
Phone number:
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