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1821527037
NICHOLAS MARK TAVOUKJIAN
PASADENA, CA
NPI
1821527037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-09
Last Update Date
2017-06-09
Business Address
Mr. NICHOLAS MARK TAVOUKJIAN ATC
200 E DEL MAR BLVD STE 302
PASADENA, CA 91105-2552
Phone number: 626-683-8536
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Mailing Address
Mr. NICHOLAS MARK TAVOUKJIAN ATC
2135 E BELLBROOK ST
COVINA, CA 91724-2347
Phone number: 626-252-9296
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