JOHN DAVID NICHOLSON

PHILADELPHIA, PA
NPI1790095933
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA001440L)
Enumeration Date2010-10-20
Last Update Date2010-10-20
Business Address
Mr. JOHN DAVID NICHOLSON PA
111 N 49TH ST
PHILADELPHIA, PA 19139-2718
Phone number: 215-471-2488
Mailing Address
Mr. JOHN DAVID NICHOLSON PA
111 N 49TH ST
PHILADELPHIA, PA 19139-2718
Phone number: 215-471-2488
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