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Individual

DR. JOHN LOUIS NICHOLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
715 ALTOS OAKS DR, LOS ALTOS, CA 94024-5402
(650) 948-4730
(650) 948-4732
Mailing address
715 ALTOS OAKS DR, LOS ALTOS, CA 94024-5402
(650) 948-4730
(650) 948-4732

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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