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1922263730
NICHOLE RENEE PROCTOR
ELKHART, IN
NPI
1922263730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001398A)
Enumeration Date
2008-07-21
Last Update Date
2008-07-21
Business Address
-- NICHOLE RENEE PROCTOR COTA
333 W MISHAWAKA RD
ELKHART, IN 46517-1921
Phone number: 574-293-1550
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Mailing Address
-- NICHOLE RENEE PROCTOR COTA
333 W MISHAWAKA RD
ELKHART, IN 46517-1921
Phone number: 574-293-1550
Copy
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