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1861003964
NICHOLE HALL
FORT WAYNE, IN
NPI
1861003964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
NICHOLE HALL
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-490-0328
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Mailing Address
NICHOLE HALL
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-490-0328
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