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Individual
NICHOLAS ANDREW LOCOCO
Active
Individual
NICHOLAS ANDREW LOCOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1133
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00874294
—
MS
01
—
26-3078685
TAX ID
—
Enumeration date
08/05/2008
Last updated
05/02/2013
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