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1710044888
DAVID DEAN NISLEY
MODESTO, CA
NPI
1710044888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA 12965)
Enumeration Date
2007-01-02
Last Update Date
2016-03-28
Business Address
Mr. DAVID DEAN NISLEY PA-C
1441 FLORIDA AVE NEUROSURGERY PA
MODESTO, CA 95350-4405
Phone number: 209-578-1211
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Mailing Address
Mr. DAVID DEAN NISLEY PA-C
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-576-3601
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