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1831692722
NICHOLAS JORDON THOMPSON
SAN JOSE, CA
NPI
1831692722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1252380617)
Enumeration Date
2018-03-16
Last Update Date
2018-03-16
Business Address
Mr. NICHOLAS JORDON THOMPSON RADT I
2218 NORTH FIRST STREET
SAN JOSE, CA 95131
Phone number: 408-985-3526
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Mailing Address
Mr. NICHOLAS JORDON THOMPSON RADT I
2218 N 1ST ST
SAN JOSE, CA 95131-2007
Phone number: 408-985-3526
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