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1720033798
NICHOLES A DASOVICH
DANVILLE, VA
NPI
1720033798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110001598)
Enumeration Date
2006-05-24
Last Update Date
2010-09-03
Business Address
-- NICHOLES A DASOVICH P.A.-C
142 S MAIN ST EMERGENCY DEPT
DANVILLE, VA 24541-2922
Phone number: 434-799-2222
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Mailing Address
-- NICHOLES A DASOVICH P.A.-C
142 S MAIN ST
DANVILLE, VA 24541-2922
Phone number: 434-251-3318
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