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1891052908
WALT KELLER
BLOOMINGTON, IN
NPI
1891052908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: IN 20040042)
Enumeration Date
2012-04-13
Last Update Date
2012-04-16
Business Address
DR. WALT KELLER HSPP
645 N WALNUT ST
BLOOMINGTON, IN 47404-3846
Phone number: 812-336-3570
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Mailing Address
DR. WALT KELLER HSPP
PO BOX 11
BLOOMINGTON, IN 47402-0011
Phone number: 812-336-3570
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