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1710281597
MICHAEL EDWARD NICOLA
OMAHA, NE
NPI
1710281597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 656)
Enumeration Date
2011-01-07
Last Update Date
2021-07-29
Business Address
MICHAEL EDWARD NICOLA ATC
6001 DODGE ST # 024
OMAHA, NE 68182-1057
Phone number: 402-598-3474
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Mailing Address
MICHAEL EDWARD NICOLA ATC
3302 WILHELMINIA DR
BELLEVUE, NE 68123-2732
Phone number: 402-598-3474
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