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1033896972
NICHOLAS RYAN MEDICI
LANCASTER, CA
NPI
1033896972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 2315335i)
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
NICHOLAS RYAN MEDICI
44319 11TH ST E
LANCASTER, CA 93535-3855
Phone number: 661-942-1026
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Mailing Address
NICHOLAS RYAN MEDICI
1066 E AVENUE J
LANCASTER, CA 93535-3870
Phone number: 661-942-1026
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