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Individual

MS. KELLIE LYNN OSMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
1332 W ARCH HAVEN AVE, SUITE C, BLOOMINGTON, IN 47403-2079
(812) 333-7447
(812) 333-7442
Mailing address
1332 W ARCH HAVEN AVE, SUITE C, BLOOMINGTON, IN 47403-2079
(812) 333-7447
(812) 333-7442

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
84000095A
IN

Other

Enumeration date
03/31/2008
Last updated
07/02/2008
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