JOSE ALFREDO NICOLA

GREAT LAKES, IL
NPI1205891256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-04-20
Last Update Date2008-04-18
Business Address
-- JOSE ALFREDO NICOLA IDC
NAVAL HEALTH CLININC GREAT LAKES BRANCH MEDICAL CLINIC 1007 USS TRANQUILITY
GREAT LAKES, IL 60088
Phone number: 847-688-2522
Mailing Address
-- JOSE ALFREDO NICOLA IDC
907 BUCCANEER DR APT A
GLENVIEW, IL 60026-7047
Phone number: 847-730-5246
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