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1851916274
KELLY MARIE TIMBROOK
FORT WAYNE, IN
NPI
1851916274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71010093A)
Enumeration Date
2020-06-11
Last Update Date
2023-05-15
Business Address
KELLY MARIE TIMBROOK NP
1717 S CALHOUN ST
FORT WAYNE, IN 46802-5257
Phone number: 260-458-3093
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Mailing Address
KELLY MARIE TIMBROOK NP
1717 S CALHOUN ST
FORT WAYNE, IN 46802-5257
Phone number: 260-458-2641
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