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1912458910
NIKKI JOHNSON
FORT WAYNE, IN
NPI
1912458910
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Former Name
NIKKI MCCOY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH 05012253A)
Enumeration Date
2016-10-14
Last Update Date
2017-09-20
Business Address
-- NIKKI JOHNSON DPT
7930 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-5800
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Mailing Address
-- NIKKI JOHNSON DPT
7930 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number:
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