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1750632378
NICHOLAS WORTMAN
SANTA MONICA, CA
NPI
1750632378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
Mr. NICHOLAS WORTMAN
1751 CLOVERFIELD BLVD
SANTA MONICA, CA 90404-4007
Phone number: 310-883-1222
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Mailing Address
Mr. NICHOLAS WORTMAN
1751 CLOVERFIELD BLVD
SANTA MONICA, CA 90404-4007
Phone number: 310-883-1222
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