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1053656652
JACOB NIDEY
VINCENNES, IN
NPI
1053656652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IN 33006476A)
Enumeration Date
2012-12-07
Last Update Date
2012-12-07
Business Address
-- JACOB NIDEY LSW
515 BAYOU ST
VINCENNES, IN 47591-1034
Phone number: 812-886-6800
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Mailing Address
-- JACOB NIDEY LSW
515 BAYOU ST
VINCENNES, IN 47591-1034
Phone number: 812-886-6800
Copy
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