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1174164503
KASEY L ELY
MUNCIE, IN
NPI
1174164503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71009472A)
Enumeration Date
2019-10-07
Last Update Date
2021-02-10
Business Address
KASEY L ELY FNP
2525 W UNIVERSITY AVE
MUNCIE, IN 47303-3421
Phone number: 765-289-6381
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Mailing Address
KASEY L ELY FNP
1200 W WHITE RIVER BLVD RCS PROVIDER ENROLLMENT
MUNCIE, IN 47303-4988
Phone number: 877-668-5621
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