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1881272557
NICHOLAS CHARLES DISANTI
SACRAMENTO, CA
NPI
1881272557
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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
2021-04-01
Last Update Date
2022-04-07
Business Address
NICHOLAS CHARLES DISANTI MD
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2011
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Mailing Address
NICHOLAS CHARLES DISANTI MD
4860 Y ST STE 3100
SACRAMENTO, CA 95817-2307
Phone number:
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