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1811176563
NICOLE HENLINE
FORT WAYNE, IN
NPI
1811176563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002875A)
Enumeration Date
2007-10-30
Last Update Date
2007-10-30
Business Address
NICOLE HENLINE PTA
10443 ILLINOIS RD
FORT WAYNE, IN 46814-9181
Phone number: 260-625-5005
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Mailing Address
NICOLE HENLINE PTA
10443 ILLINOIS RD
FORT WAYNE, IN 46814-9181
Phone number: 260-625-5005
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