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1598808156
KRISTINA R LEAVELL
FORT WAYNE, IN
NPI
1598808156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10000742A)
Enumeration Date
2007-02-14
Last Update Date
2020-10-13
Business Address
KRISTINA R LEAVELL PA-C
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone number: 260-458-3755
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Mailing Address
KRISTINA R LEAVELL PA-C
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3516
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