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1417155656
KELLY N FAWCETT
FORT WAYNE, IN
NPI
1417155656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71002401A)
Enumeration Date
2007-07-10
Last Update Date
2021-11-02
Business Address
KELLY N FAWCETT NP
10307 DUPONT CIRCLE DR W STE A
FORT WAYNE, IN 46825-1633
Phone number: 260-458-3440
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Mailing Address
KELLY N FAWCETT NP
11595 N MERIDIAN ST STE 375
CARMEL, IN 46032-3950
Phone number: 317-575-7304
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