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Individual

MRS. DANITZA NICKLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
6124 VERONA RD, VERONA, PA 15147-2835
(412) 401-8866
Mailing address
6124 VERONA RD, VERONA, PA 15147-2835
(412) 401-8866

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004738
PA

Other

Enumeration date
02/02/2016
Last updated
02/02/2016
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