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1598813909
NICHOLAS P FORD
DES MOINES, IA
NPI
1598813909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001589)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- NICHOLAS P FORD P.A.
979 OAKRIDGE DR
DES MOINES, IA 50314-2102
Phone number: 515-248-1500
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Mailing Address
-- NICHOLAS P FORD P.A.
2353 SE 14TH ST
DES MOINES, IA 50320-1109
Phone number: 515-248-1400
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