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1548634926
KELLY MOLENDA
LA PORTE, IN
NPI
1548634926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 28182312A)
Enumeration Date
2015-11-22
Last Update Date
2015-11-22
Business Address
-- KELLY MOLENDA
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-326-1234
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Mailing Address
-- KELLY MOLENDA
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-326-1234
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