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1386209153
NICHOLAS MICHEAL MONGELLI
LAS VEGAS, NV
NPI
1386209153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
NICHOLAS MICHEAL MONGELLI
9811 W CHARLESTON BLVD # 2-641
LAS VEGAS, NV 89117-7528
Phone number: 855-864-4322
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Mailing Address
NICHOLAS MICHEAL MONGELLI
8483 HIGHLAND RD
BATON ROUGE, LA 70808-6847
Phone number: 602-799-5633
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