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1639661945
NICOLE LYNNE SORDELLO
MOSCOW, ID
NPI
1639661945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
NICOLE LYNNE SORDELLO
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844-9803
Phone number: 209-401-7964
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Mailing Address
NICOLE LYNNE SORDELLO
5690 CALIFORNIA AVE
TRACY, CA 95304-9414
Phone number: 209-401-7964
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