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1801106349
JOSEPH A NICHOLAS
BOSSIER CITY, LA
NPI
1801106349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA200400)
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
-- JOSEPH A NICHOLAS PA
2449 HOSPITAL DR SUITE 200
BOSSIER CITY, LA 71111-2399
Phone number: 318-425-8701
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Mailing Address
-- JOSEPH A NICHOLAS PA
2449 HOSPITAL DR SUITE 200
BOSSIER CITY, LA 71111-2399
Phone number: 318-425-8701
Copy
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