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1043380116
MARIO GEORGE NICOLAS
JBSA LACKLAND, TX
NPI
1043380116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 37499)
Enumeration Date
2006-11-08
Last Update Date
2023-08-25
Business Address
Dr. MARIO GEORGE NICOLAS Ph.D
1100 WILFORD HALL LOOP, BLDG 4554 ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Phone number: 210-292-6225
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Mailing Address
Dr. MARIO GEORGE NICOLAS Ph.D
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-6225
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