WILLIAM NICHOLAS

SHIPROCK, NM
NPI1982032355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CO  PA.0003786)
Enumeration Date2013-10-23
Last Update Date2013-10-23
Business Address
-- WILLIAM NICHOLAS
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
Mailing Address
-- WILLIAM NICHOLAS
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001
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