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1295553527
NICOLE SOUTH
MERRILLVILLE, IN
NPI
1295553527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-24-380019)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
NICOLE SOUTH
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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Mailing Address
NICOLE SOUTH
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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