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1780328427
KIMBERLY KELLY
ELKHART, IN
NPI
1780328427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IN 13003438A)
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
KIMBERLY KELLY
1400 HUDSON ST
ELKHART, IN 46516-2023
Phone number: 574-522-6702
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Mailing Address
KIMBERLY KELLY
29377 SOMMERWOOD CT
ELKHART, IN 46517-8689
Phone number: 574-304-9396
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