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1316144793
NICOLE L KIRKLAND
PORTAGE, IN
NPI
1316144793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002707A)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- NICOLE L KIRKLAND PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
-- NICOLE L KIRKLAND PTA
475 HIGHLAND DR
CHESTERTON, IN 46304-2265
Phone number: 219-921-0003
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