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Individual

NICOLE WOOSNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-4500
Mailing address
5608 MAJESTIC TIDE AVE, LAS VEGAS, NV 89131-2517
(702) 531-8821

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA600
NV

Other

Enumeration date
05/20/2006
Last updated
01/02/2013
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