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1891219507
KELLY A. COLE
FORT WAYNE, IN
NPI
1891219507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10002268A)
Enumeration Date
2017-08-03
Last Update Date
2022-06-22
Business Address
KELLY A. COLE PA
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804-4128
Phone number: 260-458-3610
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Mailing Address
KELLY A. COLE PA
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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