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1871961789
NICHOLAS VELLEMA
DES MOINES, IA
NPI
1871961789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 079188)
Enumeration Date
2015-09-09
Last Update Date
2015-09-09
Business Address
-- NICHOLAS VELLEMA
4020 MERLE HAY RD SUITE 100
DES MOINES, IA 50310-1310
Phone number: 515-278-0949
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Mailing Address
-- NICHOLAS VELLEMA
4020 MERLE HAY RD SUITE 100
DES MOINES, IA 50310-1310
Phone number: 515-278-0949
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