NICOLE JACKSON VICENTE

DAYTON, OH
NPI1932411196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OH  33.016252)
Enumeration Date2010-07-04
Last Update Date2022-07-21
Business Address
-- NICOLE JACKSON VICENTE LMT
210 W PARKWOOD DR
DAYTON, OH 45405-3023
Phone number: 937-802-8772
Mailing Address
-- NICOLE JACKSON VICENTE LMT
210 W PARKWOOD DR
DAYTON, OH 45405-3023
Phone number: 937-802-8772
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