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1841808920
LISA KAY KRILL
FORT WAYNE, IN
NPI
1841808920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28189312A)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
LISA KAY KRILL APRN
6326 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 260-515-3275
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Mailing Address
LISA KAY KRILL APRN
9496 E 375 N
CHURUBUSCO, IN 46723-9350
Phone number: 260-466-2159
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