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1942791280
KELLY LYNN DEAKINS
SOUTH BEND, IN
NPI
1942791280
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Former Name
KELLY LYNN PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22007224A)
Enumeration Date
2018-05-22
Last Update Date
2019-07-18
Business Address
KELLY LYNN DEAKINS MS, CCC-SLP
17390 DUGDALE DR
SOUTH BEND, IN 46635-1512
Phone number: 574-400-2169
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Mailing Address
KELLY LYNN DEAKINS MS, CCC-SLP
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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