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Individual

DR. NICHOLAS CLINTON VINCELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
118 N OAK AVE, OWATONNA, MN 55060-2311
(507) 451-3072
(507) 451-4291
Mailing address
118 N OAK AVE, OWATONNA, MN 55060-2311
(507) 451-3072
(507) 451-4291

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3035
MN

Other

Enumeration date
07/03/2006
Last updated
09/07/2011
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