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1861857419
BRUCE NIELS
NORWALK, CA
NPI
1861857419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA LPT37762)
Enumeration Date
2015-12-28
Last Update Date
2015-12-28
Business Address
BRUCE NIELS LPT
12440 EAST NORWALK BOULEVARD SUITE 3020
NORWALK, CA 90650-9331
Phone number: 562-864-7821
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Mailing Address
BRUCE NIELS LPT
12440 EAST NORWALK BOULEVARD SUITE 3020
NORWALK, CA 90650-9331
Phone number: 562-864-7821
Copy
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