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1154840411
NICHOLAS VINCENT PISANO
RALEIGH, NC
NPI
1154840411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6141)
Enumeration Date
2017-09-18
Last Update Date
2017-09-18
Business Address
NICHOLAS VINCENT PISANO PTA/RD
5301 CREEDMOOR RD
RALEIGH, NC 27612-3822
Phone number: 919-615-1658
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Mailing Address
NICHOLAS VINCENT PISANO PTA/RD
3001 SPRING FOREST RD
RALEIGH, NC 27616-2815
Phone number: 919-424-5080
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