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1326318296
NICOLE MAE WOODARD
TERRE HAUTE, IN
NPI
1326318296
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Former Name
NICOLE MAE GRIMM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070017864)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
NICOLE MAE WOODARD DPT
567 N 5TH ST SS172
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-9613
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Mailing Address
NICOLE MAE WOODARD DPT
310 E LAMOTTE ST
PALESTINE, IL 62451-1328
Phone number: 618-586-4001
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