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1467078261
KRISTEN A MOMENEE
FORT WAYNE, IN
NPI
1467078261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 28173707A)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
KRISTEN A MOMENEE NP
7201 ENGLE RD
FORT WAYNE, IN 46804-2228
Phone number: 260-432-1800
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Mailing Address
KRISTEN A MOMENEE NP
6030 N SHORE DR
LEO, IN 46765-9558
Phone number: 260-385-3298
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