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1528362134
NICOLE HOUSER
FORT WAYNE, IN
NPI
1528362134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003816A)
Enumeration Date
2010-12-23
Last Update Date
2010-12-23
Business Address
-- NICOLE HOUSER
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 180-036-0838
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Mailing Address
-- NICOLE HOUSER
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number:
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