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1316196140
KIM S COFFEE
FORT WAYNE, IN
NPI
1316196140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-17
Last Update Date
2008-09-17
Business Address
-- KIM S COFFEE AAS, CMA
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
-- KIM S COFFEE AAS, CMA
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Copy
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