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1538590419
NICOLE WOMACK
SAINT LOUIS, MO
NPI
1538590419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2006006006)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
Mrs. NICOLE WOMACK MPT
1554 CALIFORNIA AVE
SAINT LOUIS, MO 63104-2048
Phone number: 314-496-2502
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Mailing Address
Mrs. NICOLE WOMACK MPT
PO BOX 19156
SAINT LOUIS, MO 63118-9156
Phone number: 314-496-2502
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