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1861268187
NICHOLAS KENNETH DETCHMAN
LOS ANGELES, CA
NPI
1861268187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
NICHOLAS KENNETH DETCHMAN
669 W 34TH ST STE 102L
LOS ANGELES, CA 90089-0411
Phone number: 213-821-5977
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Mailing Address
NICHOLAS KENNETH DETCHMAN
669 W 34TH ST STE 102L
LOS ANGELES, CA 90089-0411
Phone number: 213-821-5977
Copy
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