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1801324470
KRISTEN NICOLE BRUNNER
FORT WAYNE, IN
NPI
1801324470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12012716A)
Enumeration Date
2017-05-26
Last Update Date
2019-12-04
Business Address
Dr. KRISTEN NICOLE BRUNNER DDS
1717 S CALHOUN ST
FORT WAYNE, IN 46802-5257
Phone number: 260-458-2641
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Mailing Address
Dr. KRISTEN NICOLE BRUNNER DDS
1716 MADISON ST
DECATUR, IN 46733-1438
Phone number: 260-701-8866
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