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1386043677
NICHOLAS MICHAEL LICAMELI
CLIFTON, NJ
NPI
1386043677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01560900)
Enumeration Date
2014-08-22
Last Update Date
2014-08-22
Business Address
Dr. NICHOLAS MICHAEL LICAMELI PT, DPT
2 BRIGHTON RD
CLIFTON, NJ 07012-1663
Phone number: 973-928-6969
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Mailing Address
Dr. NICHOLAS MICHAEL LICAMELI PT, DPT
62 BEECH ST
NUTLEY, NJ 07110-2227
Phone number: 973-661-5240
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