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1982833232
JOANNA CAMILLE NICHOLSON
SAN DIEGO, CA
NPI
1982833232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA 16008)
Enumeration Date
2009-07-08
Last Update Date
2011-12-23
Business Address
-- JOANNA CAMILLE NICHOLSON PA-C
9339 GENESEE AVE PLAZA 39
SAN DIEGO, CA 92121-2119
Phone number: 858-455-7557
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Mailing Address
-- JOANNA CAMILLE NICHOLSON PA-C
PO BOX 12060
LAS VEGAS, NV 89112-0060
Phone number: 702-360-2100
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