JAQULYN NIKOLE CARRELL

SEATTLE, WA
NPI1497130207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  A1 60486324)
Enumeration Date2015-07-22
Last Update Date2015-07-22
Business Address
Miss JAQULYN NIKOLE CARRELL M.Ed, ATC, LAT, CKTP
3910 MONTLAKE BLVD NE
SEATTLE, WA 98195-0001
Phone number: 317-286-8881
Mailing Address
Miss JAQULYN NIKOLE CARRELL M.Ed, ATC, LAT, CKTP
1190 HIGHLAND LAKE WAY
BROWNSBURG, IN 46112-7833
Phone number: 317-286-8881
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