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JOHN NICOLAISEN, PA

PA

Medical Physician Assistant

NPI: 1548666738IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA52168(CA)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2014

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Contact & Hours

Address
18523 CORWIN RD STE G
APPLE VALLEY, CA 92307

Quick Facts

NPI
1548666738
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
12

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