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1578090551
KELLY O'HARA
FORT WAYNE, IN
NPI
1578090551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37002774A)
Enumeration Date
2017-05-22
Last Update Date
2017-05-22
Business Address
KELLY O'HARA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-1000
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Mailing Address
KELLY O'HARA
8045 ORIOLE AVE APT 21-101
FORT WAYNE, IN 46804-0015
Phone number:
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