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1114259140
TAMMY R NICKEL
SAN DIEGO, CA
NPI
1114259140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 26328)
Enumeration Date
2010-02-01
Last Update Date
2010-02-01
Business Address
-- TAMMY R NICKEL MPT
16885 W BERNARDO DR SUITE 380A
SAN DIEGO, CA 92127-1618
Phone number: 858-722-3484
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Mailing Address
-- TAMMY R NICKEL MPT
PO BOX 25
POWAY, CA 92074-0025
Phone number:
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