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1376865337
BRAD JAMES NICOLL
SAN DIEGO, CA
NPI
1376865337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 36797)
Enumeration Date
2010-02-18
Last Update Date
2016-03-18
Business Address
-- BRAD JAMES NICOLL P.T.
15004 INNOVATION DR
SAN DIEGO, CA 92128-3491
Phone number: 858-605-7189
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Mailing Address
-- BRAD JAMES NICOLL P.T.
10790 RANCHO BERNARDO RD MAIL DROP 4S-205
SAN DIEGO, CA 92127-5705
Phone number: 858-927-5775
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