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1710915830
CHARLES E NIESEN
PASADENA, CA
NPI
1710915830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA A54329)
Enumeration Date
2006-06-29
Last Update Date
2016-10-31
Business Address
Dr. CHARLES E NIESEN M.D.
960 E GREEN ST SUITE L11
PASADENA, CA 91106-2412
Phone number: 626-599-7600
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Mailing Address
Dr. CHARLES E NIESEN M.D.
960 E GREEN ST SUITE L11
PASADENA, CA 91106-2412
Phone number: 626-599-7600
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