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1285952911
NICOLE ANN MOORE
JASPER, IN
NPI
1285952911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003336A)
Enumeration Date
2010-05-05
Last Update Date
2010-05-05
Business Address
Mrs. NICOLE ANN MOORE PTA
2909 HOWARD DR
JASPER, IN 47546-1113
Phone number: 812-482-6161
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Mailing Address
Mrs. NICOLE ANN MOORE PTA
2909 HOWARD DR
JASPER, IN 47546-1113
Phone number: 812-482-6161
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