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1912386400
NICHOLAS SHIZUO THALER
LOS ANGELES, CA
NPI
1912386400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: CA 27149)
Enumeration Date
2015-05-29
Last Update Date
2015-12-15
Business Address
Dr. NICHOLAS SHIZUO THALER Ph.D.
760 WESTWOOD PLZ
LOS ANGELES, CA 90095-1759
Phone number: 310-570-5113
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Mailing Address
Dr. NICHOLAS SHIZUO THALER Ph.D.
5767 W CENTURY BLVD SUITE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-206-8100
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