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Individual
ANDREW M NICHOLSON
Active
Individual
ANDREW M NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
OH 116
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
SPECIALIST/TECHNOLOGIST-
OH
Enumeration date
07/20/2006
Last updated
07/08/2007
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