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1154017960
NANETTE NELL MCKIM
FORT WAYNE, IN
NPI
1154017960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: IN 28115626A)
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
NANETTE NELL MCKIM
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
NANETTE NELL MCKIM
110 SPRING FOREST CT
FORT WAYNE, IN 46804-6721
Phone number: 260-257-9295
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