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1801644174
NICHOLAS IWATA
EL PASO, TX
NPI
1801644174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10090499)
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
NICHOLAS IWATA
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-8000
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Mailing Address
NICHOLAS IWATA
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number:
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