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1326112988
NICOLE A AMOS
O FALLON, IL
NPI
1326112988
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Former Name
NICOLE A MARTENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.016637)
Enumeration Date
2006-11-17
Last Update Date
2020-02-04
Business Address
NICOLE A AMOS PT
210 HARTMAN LN STE 500
O FALLON, IL 62269-1783
Phone number: 618-589-9000
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Mailing Address
NICOLE A AMOS PT
2609 LAUREN LAKE DR
BELLEVILLE, IL 62221-8620
Phone number: 618-960-6407
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