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1144885898
KEVIN FITZGERALD NICHOLS
SAN DIEGO, CA
NPI
1144885898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
KEVIN FITZGERALD NICHOLS
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110-4907
Phone number: 619-523-8121
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Mailing Address
KEVIN FITZGERALD NICHOLS
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110-4907
Phone number: 619-523-8121
Copy
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