NICASIO VILLARREAL

BOWLING GREEN, KY
NPI1225188949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: KY  SA038)
Enumeration Date2007-01-12
Last Update Date2014-08-21
Business Address
Mr. NICASIO VILLARREAL KCSA
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-781-4828
Mailing Address
Mr. NICASIO VILLARREAL KCSA
1945 SCOTTSVILLE RD STE B2 PMB 397
BOWLING GREEN, KY 42104-5836
Phone number: 270-781-4828
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