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1831600311
KELLI ROSE ROE
FORT WAYNE, IN
NPI
1831600311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28181384A)
Enumeration Date
2017-10-24
Last Update Date
2021-01-22
Business Address
Mrs. KELLI ROSE ROE NP
4813 NEW HAVEN AVE
FORT WAYNE, IN 46803-3018
Phone number: 260-449-7504
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Mailing Address
Mrs. KELLI ROSE ROE NP
4813 NEW HAVEN AVE
FORT WAYNE, IN 46803-3018
Phone number: 260-449-7504
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