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1023010980
CHARLES WALTER KELLEY
INDIANAPOLIS, IN
NPI
1023010980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: IN 070000355)
Enumeration Date
2005-08-11
Last Update Date
2011-05-16
Business Address
-- CHARLES WALTER KELLEY DPM
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203-4744
Phone number: 317-788-9769
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Mailing Address
-- CHARLES WALTER KELLEY DPM
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203-4744
Phone number: 317-788-9769
Copy
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