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1043031693
KELLEY CHRISTOFFEL
FORT WAYNE, IN
NPI
1043031693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71015918A)
Enumeration Date
2024-10-17
Last Update Date
2024-10-17
Business Address
KELLEY CHRISTOFFEL
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825-1604
Phone number: 260-426-8117
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Mailing Address
KELLEY CHRISTOFFEL
12825 CRYSTAL CREEK PKWY
FORT WAYNE, IN 46845-2360
Phone number: 260-316-2397
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