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1144830449
KYLEE SLADE
LAFAYETTE, IN
NPI
1144830449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 28220955A)
Enumeration Date
2020-08-03
Last Update Date
2021-03-31
Business Address
KYLEE SLADE
415 N 26TH ST
LAFAYETTE, IN 47904-2895
Phone number: 765-404-3055
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Mailing Address
KYLEE SLADE
415 N 26TH ST
LAFAYETTE, IN 47904-2895
Phone number:
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