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1144896234
NICKLAUS NISHIJIMA
OAKLAND, CA
NPI
1144896234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-31
Last Update Date
2021-05-31
Business Address
NICKLAUS NISHIJIMA
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number: 559-974-0542
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Mailing Address
NICKLAUS NISHIJIMA
223 W PAUL AVE
CLOVIS, CA 93612-0250
Phone number: 559-974-0542
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