BRIAN J NICKERSON

ORLANDO, FL
NPI1295761930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL 96)
Enumeration Date2006-06-24
Last Update Date2007-07-08
Business Address
-- BRIAN J NICKERSON ATC
100 W GORE ST SUITE 204
ORLANDO, FL 32806-1044
Phone number: 407-835-8818
Mailing Address
-- BRIAN J NICKERSON ATC
130 AVERY LAKE DR
WINTER SPRINGS, FL 32708-5191
Phone number: 407-971-1883
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