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1942656426
MATTHEW NICKLE
SAN PEDRO, CA
NPI
1942656426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 92602)
Enumeration Date
2016-05-13
Last Update Date
2016-05-13
Business Address
-- MATTHEW NICKLE
1891 N GAFFEY ST 230
SAN PEDRO, CA 90731-1267
Phone number: 310-831-1967
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Mailing Address
-- MATTHEW NICKLE
PO BOX 7000-15
REDONDO BEACH, CA 90277
Phone number: 424-225-1638
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