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1972523512
SUSANNE BERNADETTE NICHOLAS
LOS ANGELES, CA
NPI
1972523512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: CA G70174)
Enumeration Date
2006-07-19
Last Update Date
2010-07-13
Business Address
-- SUSANNE BERNADETTE NICHOLAS md
200 MEDICAL PLAZA #365,530,420,120
LOS ANGELES, CA 90095
Phone number: 310-825-6301
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Mailing Address
-- SUSANNE BERNADETTE NICHOLAS md
5767 W CENTURY BLVD SUITE 200
LOS ANGELES, CA 90045-5632
Phone number: 310-794-7555
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