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1114129475
NICHOLE DEARBORN
VINCENNES, IN
NPI
1114129475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 00774)
Enumeration Date
2007-05-31
Last Update Date
2012-07-13
Business Address
-- NICHOLE DEARBORN PTA
3801 OLD BRUCEVILLE RD
VINCENNES, IN 47591-3889
Phone number: 812-886-4677
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Mailing Address
-- NICHOLE DEARBORN PTA
305 E 23RD ST N
NEWTON, IA 50208-2609
Phone number: 641-521-4940
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