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1386892727
CRYSTAL PATRESE NICHOLS
MOJAVE, CA
NPI
1386892727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
Mrs. CRYSTAL PATRESE NICHOLS
15662 K ST
MOJAVE, CA 93501-1826
Phone number: 661-824-4118
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Mailing Address
Mrs. CRYSTAL PATRESE NICHOLS
5783 EDMONDS WAY
MOJAVE, CA 93501-7414
Phone number: 661-824-4350
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