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1427489772
KALEY INGENITO
COON RAPIDS, MN
NPI
1427489772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.004938)
Enumeration Date
2013-12-11
Last Update Date
2021-03-11
Business Address
KALEY INGENITO PA-C
11850 BLACKFOOT ST NW STE 300
COON RAPIDS, MN 55433-2772
Phone number: 763-236-9236
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Mailing Address
KALEY INGENITO PA-C
777 PARK AVE W
HIGHLAND PARK, IL 60035-2433
Phone number: 847-432-8000
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