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1780468546
NICHOLAS ALEXANDER GOMEZ
CROWN POINT, IN
NPI
1780468546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 71015668A)
Enumeration Date
2023-08-22
Last Update Date
2024-09-13
Business Address
Mr. NICHOLAS ALEXANDER GOMEZ PMHNP-BC
2050 N MAIN ST STE C
CROWN POINT, IN 46307
Phone number: 219-662-3300
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Mailing Address
Mr. NICHOLAS ALEXANDER GOMEZ PMHNP-BC
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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