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1134817141
NICOLE AUSTGEN
MERRILLVILLE, IN
NPI
1134817141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IN 10275009)
Enumeration Date
2023-04-27
Last Update Date
2023-04-27
Business Address
NICOLE AUSTGEN
8690 BROADWAY STE A
MERRILLVILLE, IN 46410-7034
Phone number: 219-750-9600
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Mailing Address
NICOLE AUSTGEN
724 E MAIN ST
LOWELL, IN 46356-1841
Phone number: 219-688-7157
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