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1689225880
NICHOLAS A SHIELDS
SAN DIEGO, CA
NPI
1689225880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86091088)
Enumeration Date
2019-09-28
Last Update Date
2019-09-28
Business Address
NICHOLAS A SHIELDS
4335 UTAH ST
SAN DIEGO, CA 92104-1212
Phone number: 831-726-6612
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Mailing Address
NICHOLAS A SHIELDS
4335 UTAH ST
SAN DIEGO, CA 92104-1212
Phone number: 831-726-6612
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