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1841434354
KELLY ELIZABETH MORTELL
SOUTH BEND, IN
NPI
1841434354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: IN 01075131A)
Enumeration Date
2009-04-28
Last Update Date
2017-12-06
Business Address
KELLY ELIZABETH MORTELL M.D.
621 MEMORIAL DR STE 312
SOUTH BEND, IN 46601-1063
Phone number: 574-647-5200
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Mailing Address
KELLY ELIZABETH MORTELL M.D.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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