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Organization
XS MEDICAL
Active
Organization
XS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NICKERSON (OWNER)
(714) 726-5746
Entity
Organization
Contact information
Practice address
230 MALVERN AVE, FULLERTON, CA 92832-1442
(714) 726-5746
Mailing address
230 MALVERN AVE, FULLERTON, CA 92832-1442
(714) 726-5746
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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