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1003523846
GAELLE MAVILUKA BULABULA
CARMEL, IN
NPI
1003523846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71013415A)
Enumeration Date
2022-11-01
Last Update Date
2024-10-17
Business Address
GAELLE MAVILUKA BULABULA
13090 PETIGRU DR
CARMEL, IN 46032-4436
Phone number: 317-733-8608
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Mailing Address
GAELLE MAVILUKA BULABULA
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number:
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