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1568961621
CHARLOTTE STEPHANIE NICOLAS
LONG BEACH, CA
NPI
1568961621
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Former Name
CHARLOTTE STEPHANIE LASSALAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95008454)
Enumeration Date
2018-02-05
Last Update Date
2019-05-14
Business Address
CHARLOTTE STEPHANIE NICOLAS FNP
4401 ATLANTIC AVE STE 202
LONG BEACH, CA 90807-2252
Phone number: 562-988-2777
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Mailing Address
CHARLOTTE STEPHANIE NICOLAS FNP
4401 ATLANTIC AVE STE 202
LONG BEACH, CA 90807-2252
Phone number: 562-988-2777
Copy
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