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1992343313
MELISSA NICKLAW
LEICESTER, VT
NPI
1992343313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
MELISSA NICKLAW
1351 US ROUTE 7
LEICESTER, VT 05733-9497
Phone number: 802-247-9060
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Mailing Address
MELISSA NICKLAW
1351 US ROUTE 7
LEICESTER, VT 05733-9497
Phone number: 802-247-9060
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