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1447880778
NICHOLE JEAN BURGESS
FORT WAYNE, IN
NPI
1447880778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT22007086)
Enumeration Date
2020-01-26
Last Update Date
2020-01-26
Business Address
NICHOLE JEAN BURGESS LMT
1230 RUSTON PASS STE B
FORT WAYNE, IN 46825-1572
Phone number: 260-797-6100
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Mailing Address
NICHOLE JEAN BURGESS LMT
1230 RUSTON PASS STE B
FORT WAYNE, IN 46825-1572
Phone number: 260-797-6100
Copy
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