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1003802331
MARY R KELM
FOND DU LAC, WI
NPI
1003802331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 16033)
Enumeration Date
2005-09-22
Last Update Date
2016-03-28
Business Address
-- MARY R KELM NP
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8230
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Mailing Address
-- MARY R KELM NP
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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