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1801347778
NICHOLAS LO
STOCKTON, CA
NPI
1801347778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- NICHOLAS LO
4037 ANTIOCH WAY
STOCKTON, CA 95212-2929
Phone number: 209-561-0544
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Mailing Address
-- NICHOLAS LO
4037 ANTIOCH WAY
STOCKTON, CA 95212-2929
Phone number: 209-561-0544
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