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1578128294
NICHOLAS SCOTT WATERMAN
SAN DIEGO, CA
NPI
1578128294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
NICHOLAS SCOTT WATERMAN
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
NICHOLAS SCOTT WATERMAN
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number:
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