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1346761228
KACEY J FUELLING
FORT WAYNE, IN
NPI
1346761228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 99080513A)
Enumeration Date
2017-06-30
Last Update Date
2022-10-10
Business Address
KACEY J FUELLING
3909 NEW VISION DR
FORT WAYNE, IN 46845-1725
Phone number: 260-469-6610
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Mailing Address
KACEY J FUELLING
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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