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1699976423
NICK ROBERT PERRY
DAVIS, CA
NPI
1699976423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2007-05-30
Last Update Date
2010-12-13
Business Address
-- NICK ROBERT PERRY
24321 COUNTY ROAD 96
DAVIS, CA 95616
Phone number: 530-758-1653
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Mailing Address
-- NICK ROBERT PERRY
1667 OAK AVE
DAVIS, CA 95616-1003
Phone number: 530-758-2160
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