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1578024758
NICHOLAS A BOSSO
MISHAWAKA, IN
NPI
1578024758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
Mr. NICHOLAS A BOSSO
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545-1468
Phone number: 585-402-0006
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Mailing Address
Mr. NICHOLAS A BOSSO
985 FURMAN RD
FAIRPORT, NY 14450-9189
Phone number: 585-402-0006
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