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1588203442
NICHOLAS GAMALIEL ORTIZ
FRESNO, CA
NPI
1588203442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-12-24
Last Update Date
2024-01-22
Business Address
NICHOLAS GAMALIEL ORTIZ
3433 W SHAW AVE STE 107
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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Mailing Address
NICHOLAS GAMALIEL ORTIZ
3433 W SHAW AVE STE 107
FRESNO, CA 93711-3229
Phone number: 559-476-2115
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