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1407329048
NICHOLAS RUDGEAR
PHOENIX, AZ
NPI
1407329048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-18103)
Enumeration Date
2019-01-07
Last Update Date
2024-06-13
Business Address
NICHOLAS RUDGEAR
1440 E MISSOURI AVE STE C160
PHOENIX, AZ 85014-2458
Phone number: 602-878-8142
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Mailing Address
NICHOLAS RUDGEAR
1440 E MISSOURI AVE STE C160
PHOENIX, AZ 85014-2458
Phone number: 602-878-8142
Copy
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