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1841904414
JARED MICHAEL DE NICOLA
LAS VEGAS, NV
NPI
1841904414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-09
Last Update Date
2023-01-09
Business Address
JARED MICHAEL DE NICOLA BA
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130-3455
Phone number: 702-385-5331
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Mailing Address
JARED MICHAEL DE NICOLA BA
10100 ELIDA RD
DELPHOS, OH 45833-9056
Phone number: 419-695-8010
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