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1518506047
KEN A KIMBALL
FORT WAYNE, IN
NPI
1518506047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26016357A)
Enumeration Date
2020-01-01
Last Update Date
2020-01-01
Business Address
Mr. KEN A KIMBALL RPh
2802 E STATE BLVD
FORT WAYNE, IN 46805-4733
Phone number: 260-471-5521
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Mailing Address
Mr. KEN A KIMBALL RPh
11606 HARDISTY RD
FORT WAYNE, IN 46845-9606
Phone number:
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