NACOLE MARIE JACKSON

CHESTERTON, IN
NPI1851459770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001281a)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
-- NACOLE MARIE JACKSON COTA
1120 S CALUMET RD SUITE 3
CHESTERTON, IN 46304-3285
Phone number: 219-983-9675
Mailing Address
-- NACOLE MARIE JACKSON COTA
418 PLANETT ST
LA PORTE, IN 46350-2682
Phone number: 219-325-3541
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