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1164651121
JOSHUA LUCAS NINICHUCK
FREMONT, CA
NPI
1164651121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 20358)
Enumeration Date
2009-07-10
Last Update Date
2016-11-08
Business Address
MR. JOSHUA LUCAS NINICHUCK PA-C, MPAP
39350 CIVIC CENTER DR STE 300
FREMONT, CA 94538-2331
Phone number: 510-797-3933
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Mailing Address
MR. JOSHUA LUCAS NINICHUCK PA-C, MPAP
39350 CIVIC CENTER DR STE 300
FREMONT, CA 94538-2331
Phone number: 510-797-3933
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