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1669699104
BRIAN KELLUM
INDIANAPOLIS, IN
NPI
1669699104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: IN 05006047A)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Mr. BRIAN KELLUM MSPT
6306 SILVER MOON CT
INDIANAPOLIS, IN 46259-8749
Phone number: 317-862-6717
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Mailing Address
Mr. BRIAN KELLUM MSPT
6306 SILVER MOON CT
INDIANAPOLIS, IN 46259-8749
Phone number: 317-862-6717
Copy
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