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1124019310
KELLY A WATTS
TERRE HAUTE, IN
NPI
1124019310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71001710A)
Enumeration Date
2005-11-04
Last Update Date
2007-07-08
Business Address
-- KELLY A WATTS FNP
3903 S 7TH ST SUITE 2D
TERRE HAUTE, IN 47802-5710
Phone number: 812-232-3191
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Mailing Address
-- KELLY A WATTS FNP
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802-3584
Phone number: 812-238-1730
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