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Individual

MS. SUE A RICKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
111 MONUMENT CIR, SUITE 252, INDIANAPOLIS, IN 46204-5100
(317) 955-0591
(317) 955-0591
Mailing address
111 MONUMENT CIR, SUITE 252, INDIANAPOLIS, IN 46204-5100
(317) 955-0591
(317) 955-0591

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
IN

Other

Enumeration date
07/26/2009
Last updated
07/26/2009
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