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1346012606
CALEB JAMES PEMBERTON
KOKOMO, IN
NPI
1346012606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71015354A)
Enumeration Date
2023-10-30
Last Update Date
2024-07-03
Business Address
CALEB JAMES PEMBERTON FNP-C
2340 W SYCAMORE ST
KOKOMO, IN 46901-4108
Phone number: 765-437-9394
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Mailing Address
CALEB JAMES PEMBERTON FNP-C
210 E ADAMS ST
TIPTON, IN 46072-2004
Phone number: 765-437-9394
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