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Individual

NICOLE ELIZABETH TRUMPOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1220 1ST AVE NE, EBY FIELDHOUSE, CEDAR RAPIDS, IA 52402-5008
(319) 361-3490
Mailing address
650 COLTON CIR NE, UNIT 11, CEDAR RAPIDS, IA 52402-6760
(319) 361-3490

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000947
IA

Other

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