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1659854263
NICOLE ANNETTE NICKSIC
HIGHLAND, IN
NPI
1659854263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
NICOLE ANNETTE NICKSIC
2906 HIGHWAY AVE
HIGHLAND, IN 46322-1631
Phone number: 219-513-8311
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Mailing Address
NICOLE ANNETTE NICKSIC
7538 MAPLEWOOD AVE
HAMMOND, IN 46324-3046
Phone number: 219-902-4182
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