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1821188483
NICHOLAS RAYMOND BIRLEW
STOCKTON, CA
NPI
1821188483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A4979)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Dr. NICHOLAS RAYMOND BIRLEW D.O.
1148 W HAMMER LN
STOCKTON, CA 95209-3011
Phone number: 209-952-9696
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Mailing Address
Dr. NICHOLAS RAYMOND BIRLEW D.O.
1148 W HAMMER LN
STOCKTON, CA 95209-3011
Phone number: 209-952-9696
Copy
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