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NICHOLAS FULWILER

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1407510134

Individual Registrant:
 NICHOLAS  FULWILER 
Gender: M
Sole Proprietor

Location and contact information for practice:
1117 N SIGNAL ST  OJAI, CA 93023-1829 US
Tel: 206-313-1772  Fax: --

Contact information for business:
226 W OJAI AVE # 101-534  OJAI, CA 93023-3277 US
Tel: 206-313-1772  Fax: --

Registration Information:
NPI: 1407510134
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
CA47026

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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