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1215951868
PERRY MICHAEL NICASSIO
LOS ANGELES, CA
NPI
1215951868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY10381)
Enumeration Date
2006-07-27
Last Update Date
2013-07-10
Business Address
-- PERRY MICHAEL NICASSIO PhD
300 MEDICAL PLZ
LOS ANGELES, CA 90095-0001
Phone number: 310-825-9989
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Mailing Address
-- PERRY MICHAEL NICASSIO PhD
5767 W CENTURY BLVD SUITE 200
LOS ANGELES, CA 90045-5632
Phone number: 310-825-9989
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