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1417254459
FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION
MARINA DEL REY, CA
NPI
1417254459
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Entity Type
Organization
Authorized Contact
FREDERIC NICOLA
President
310-574-0487
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2011-02-25
Last Update Date
2011-02-25
Business Address
FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292-6358
Phone number: 310-574-0487
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Mailing Address
FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION
2980 N BEVERLY GLEN CIR STE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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