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Individual

NICOLE E DELAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
31 RIVER RD, SUITE 100, COS COB, CT 06807-2152
(203) 863-2003
(203) 863-2025
Mailing address
31 RIVER RD, SUITE 100, COS COB, CT 06807-2152
(203) 863-2003
(203) 863-2025

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000782
CT

Other

Enumeration date
09/25/2012
Last updated
09/25/2012
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