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1841993318
NICHOLAS JOSEPH COMARDELLE
PEORIA, IL
NPI
1841993318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-23
Last Update Date
2023-06-27
Business Address
NICHOLAS JOSEPH COMARDELLE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 504-858-1710
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Mailing Address
NICHOLAS JOSEPH COMARDELLE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2642
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