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1053154096
NICHOLAS ANDREW BARE
MORENO VALLEY, CA
NPI
1053154096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-17
Last Update Date
2024-08-15
Business Address
NICHOLAS ANDREW BARE
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Phone number: 951-486-4000
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Mailing Address
NICHOLAS ANDREW BARE
2700 PETERSON PL U 44A
COSTA MESA, CA 92626
Phone number:
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