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1497947634
NICHOLAS ELY CARLSON
SPOKANE, WA
NPI
1497947634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-08-12
Last Update Date
2011-05-12
Business Address
-- NICHOLAS ELY CARLSON ATC, AT/L
505 E 3RD AVE SUITE B
SPOKANE, WA 99202-1426
Phone number: 509-995-1573
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Mailing Address
-- NICHOLAS ELY CARLSON ATC, AT/L
5420 W BARNES RD #E334
SPOKANE, WA 99208-7027
Phone number: 509-995-1573
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