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1912487596
NICHOLAS ARTHUT THIBAULT
EL CAJON, CA
NPI
1912487596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
NICHOLAS ARTHUT THIBAULT
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-794-7261
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Mailing Address
NICHOLAS ARTHUT THIBAULT
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-794-7261
Copy
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