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1396261061
NICOLE PALLESCO SAMALA
BRANDON, FL
NPI
1396261061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL3469)
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
NICOLE PALLESCO SAMALA ATC, LAT
305 E BRANDON BLVD STE 102
BRANDON, FL 33511-5222
Phone number: 813-657-8448
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Mailing Address
NICOLE PALLESCO SAMALA ATC, LAT
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number:
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