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Individual

DAVID NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4800
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013288
NY
363A00000X
Physician Assistant
Primary
PA21467
CA

Other

Enumeration date
06/11/2009
Last updated
01/30/2014
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