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1609258904
NICOLE HART
KENNETT, MO
NPI
1609258904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children
Enumeration Date
2015-06-23
Last Update Date
2015-06-23
Business Address
-- NICOLE HART
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
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Mailing Address
-- NICOLE HART
1109 JONES ST
KENNETT, MO 63857-3824
Phone number:
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