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1255959268
NATHANIEL COLM CHASE
INGLEWOOD, CA
NPI
1255959268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95014799)
Enumeration Date
2020-07-07
Last Update Date
2020-07-10
Business Address
NATHANIEL COLM CHASE AGACNP
555 E HARDY ST
INGLEWOOD, CA 90301-4011
Phone number: 562-336-6173
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Mailing Address
NATHANIEL COLM CHASE AGACNP
3853 N GREENBRIER RD
LONG BEACH, CA 90808-1815
Phone number: 562-336-6173
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