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JACK KIMMELL
Student in an Organized Health Care Education/Training Program
NPI: 1740731116Individual
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Code: 390200000X
3925375607(IN)
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Contact & Hours
- Address
- 1526 EAST LASALLE
SOUTH BEND, IN 46617 - Phone
- (574) 310-1911
Quick Facts
- NPI
- 1740731116
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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