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1639338874
NICOLE MARIE SIEG
GOSHEN, IN
NPI
1639338874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003382A)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
Mrs. NICOLE MARIE SIEG PTA
2400 COLLEGE AVE
GOSHEN, IN 46528-5010
Phone number: 574-533-0351
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Mailing Address
Mrs. NICOLE MARIE SIEG PTA
21814 ANGELA DR
GOSHEN, IN 46526-9431
Phone number: 574-370-3785
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