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1164909255
NICOLE KARIN THATE
MUNSTER, IN
NPI
1164909255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012282A)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
NICOLE KARIN THATE
9950 CALUMET AVE
MUNSTER, IN 46321-4028
Phone number: 219-934-2840
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Mailing Address
NICOLE KARIN THATE
9950 CALUMET AVE
MUNSTER, IN 46321-4028
Phone number:
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