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1003288481
NICHOLAS WALTHER
SAN BERNARDINO, CA
NPI
1003288481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 52987)
Enumeration Date
2015-10-26
Last Update Date
2015-10-26
Business Address
-- NICHOLAS WALTHER PA-C
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404-4836
Phone number: 909-883-8711
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Mailing Address
-- NICHOLAS WALTHER PA-C
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404-4836
Phone number: 909-883-8711
Copy
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