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Individual

NICOLE NASSIF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
28644 LILY ST NW, ISANTI, MN 55040-5928
(763) 226-5224
Mailing address
28644 LILY ST NW, ISANTI, MN 55040-5928
(763) 226-5224

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2199
MN

Other

Enumeration date
04/20/2016
Last updated
04/20/2016
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