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1205463858
ADDISON SCHWALLER
KOKOMO, IN
NPI
1205463858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10003183A)
Enumeration Date
2020-03-24
Last Update Date
2023-09-19
Business Address
ADDISON SCHWALLER
1907 W SYCAMORE ST
KOKOMO, IN 46901-5148
Phone number: 765-456-5611
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Mailing Address
ADDISON SCHWALLER
327 S UNION ST APT 214
KOKOMO, IN 46901-6062
Phone number: 815-757-7364
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