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Individual

NICHOLAS RAYMOND MARINELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2354 MENDENHALL LOOP RD STE 79, JUNEAU, AK 99801-8001
(907) 500-7456
Mailing address
2354 MENDENHALL LOOP RD STE 79, JUNEAU, AK 99801-8001
(907) 500-7456

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AK

Other

Enumeration date
11/14/2019
Last updated
11/03/2021
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