Individual
NICOLE ALICIA CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
555 COUNTY ROAD HQ, MARQUETTE, MI 49855-8855
(906) 225-5044
Mailing address
920 JEFFERSON ST, APARTMENT 11, MARQUETTE, MI 49855-3967
(906) 280-5426
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L532066
MI
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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