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Individual

DR. KELSI DIMITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7620 E 109TH AVE, CROWN POINT, IN 46307-9182
(219) 662-9855
Mailing address
7620 E 109TH AVE, CROWN POINT, IN 46307-9182
(219) 662-9855

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002759A
IN

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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