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1437919909
CHARLES PHIFER NICHOLSON
LOS ANGELES, CA
NPI
1437919909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
CHARLES PHIFER NICHOLSON MD, MTS
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095-8344
Phone number: 310-270-7641
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Mailing Address
CHARLES PHIFER NICHOLSON MD, MTS
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095-7419
Phone number:
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