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1265688808
KALI E VENESS
FORT WAYNE, IN
NPI
1265688808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001002A)
Enumeration Date
2008-08-14
Last Update Date
2013-01-23
Business Address
-- KALI E VENESS P.A.
2930 LAKE AVE
FORT WAYNE, IN 46805-5416
Phone number: 260-422-4096
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Mailing Address
-- KALI E VENESS P.A.
2930 LAKE AVE
FORT WAYNE, IN 46805-5416
Phone number: 260-422-4096
Copy
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