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1073179479
NICHOLAS KEITH BERRYMAN
CARMEL, IN
NPI
1073179479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 32002695A)
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
NICHOLAS KEITH BERRYMAN
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number: 812-987-5098
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Mailing Address
NICHOLAS KEITH BERRYMAN
918 E ELM ST
NEW ALBANY, IN 47150-3062
Phone number: 812-987-5098
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