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Individual

NICKOLAS COYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LAT, ATC, CSCS

Contact information

Practice address
55 HARBOUR BLVD, CAMDEN, NJ 08103-1056
(515) 480-1887
Mailing address
55 HARBOUR BLVD, CAMDEN, NJ 08103-1056
(515) 480-1887

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2446
TN
2255A2300X
Athletic Trainer
Primary
NJ
2255A2300X
Athletic Trainer
PA

Other

Enumeration date
01/04/2019
Last updated
05/27/2022
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