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1083266456
LONNY JAMES NICHOLSON
YUCCA VALLEY, CA
NPI
1083266456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
LONNY JAMES NICHOLSON
58471 29 PALMS HWY STE 102
YUCCA VALLEY, CA 92284-5818
Phone number: 760-853-4888
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Mailing Address
LONNY JAMES NICHOLSON
58471 29 PALMS HWY STE 102
YUCCA VALLEY, CA 92284-5818
Phone number: 760-853-4888
Copy
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