STEPHEN MICHAEL NICKELL

CAPE GIRARDEAU, MO
NPI1740400407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2012028530)
Enumeration Date2007-04-26
Last Update Date2014-04-04
Business Address
Mr. STEPHEN MICHAEL NICKELL M.A., ATC
1 UNIVERSITY PLZ MS 7650
CAPE GIRARDEAU, MO 63701-4710
Phone number: 573-986-6841
Mailing Address
Mr. STEPHEN MICHAEL NICKELL M.A., ATC
2142 KENNETH DR
CAPE GIRARDEAU, MO 63701-1863
Phone number: 937-631-4660
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