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1316177256
KELI KAZMAR FERGUSON
BLOOMINGTON, IN
NPI
1316177256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 1001097A)
Enumeration Date
2009-07-24
Last Update Date
2021-01-26
Business Address
KELI KAZMAR FERGUSON PA-C
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-9515
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Mailing Address
KELI KAZMAR FERGUSON PA-C
8336 SWEETWATER DR
NINEVEH, IN 46164-9628
Phone number: 317-933-2213
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