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Michael Colacicco
NPI 1831585736 · on the registry since 2015 · sole proprietor
Practice
- Address
- 17119 Cedar Dr
Edmond, OK 73012 - Phone
- (908) 642-7957
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma