NICHOLAS ANTONELLI

FORT BRAGG, NC
NPI1780044776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002358A)
Enumeration Date2016-03-03
Last Update Date2022-07-29
Business Address
NICHOLAS ANTONELLI ATC
2817 REILLY RD WAMC CREDENTIALING
FORT BRAGG, NC 28310
Phone number: 517-896-0261
Mailing Address
NICHOLAS ANTONELLI ATC
2817 REILLY ST
FORT BRAGG, NC 28310-7324
Phone number:
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