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1154151033
LAURA NICOLAS
RANCHO CUCAMONGA, CA
NPI
1154151033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 148474)
Enumeration Date
2024-08-05
Last Update Date
2024-08-06
Business Address
LAURA NICOLAS
7365 CARNELIAN ST STE 202
RANCHO CUCAMONGA, CA 91730-1157
Phone number: 909-281-1557
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Mailing Address
LAURA NICOLAS
2847 GRACE ST APT 3
RIVERSIDE, CA 92504-4744
Phone number: 951-823-3519
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