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1649479544
TAMARA A NICKSIC
SAINT JOHN, IN
NPI
1649479544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05002433A)
Enumeration Date
2007-07-12
Last Update Date
2018-11-08
Business Address
TAMARA A NICKSIC PT
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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Mailing Address
TAMARA A NICKSIC PT
2203 WYNNEWOOD DR
VALPARAISO, IN 46385-2828
Phone number: 219-789-5865
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