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1467057406
NICHOLAS CONRAD HERNLEM
SACRAMENTO, CA
NPI
1467057406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
NICHOLAS CONRAD HERNLEM
6950 65TH ST
SACRAMENTO, CA 95823-2316
Phone number: 916-393-1222
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Mailing Address
NICHOLAS CONRAD HERNLEM
6950 65TH ST
SACRAMENTO, CA 95823-2316
Phone number: 916-393-1222
Copy
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