KRISTENE QUALLS

MISHAWAKA, IN
NPI1750770053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71005344A)
Enumeration Date2015-01-10
Last Update Date2016-11-21
Business Address
-- KRISTENE QUALLS
524 E MCKINLEY AVE
MISHAWAKA, IN 46545-6285
Phone number: 574-256-2556
Mailing Address
-- KRISTENE QUALLS
29580 COUNTY ROAD 6
ELKHART, IN 46514-9513
Phone number: 574-596-3258
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