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1235645557
LORIE LYNN NICHOLAS
APPLE VALLEY, CA
NPI
1235645557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA A054870923)
Enumeration Date
2017-12-22
Last Update Date
2024-03-12
Business Address
LORIE LYNN NICHOLAS
21101 DALE EVANS PKWY
APPLE VALLEY, CA 92307-9356
Phone number: 760-961-6631
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Mailing Address
LORIE LYNN NICHOLAS
21101 DALE EVANS PKWY
APPLE VALLEY, CA 92307-9356
Phone number: 760-961-6631
Copy
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