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1902674062
SAMUEL NICHOLS
SACRAMENTO, CA
NPI
1902674062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-12-18
Last Update Date
2024-06-03
Business Address
SAMUEL NICHOLS
6950 65TH ST
SACRAMENTO, CA 95823-2316
Phone number: 916-393-1222
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Mailing Address
SAMUEL NICHOLS
6950 65TH ST
SACRAMENTO, CA 95823-2316
Phone number: 916-393-1222
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