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1013032325
ANGELA SUE FORNKOHL BLUM
NEW CASTLE, IN
NPI
1013032325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IN 01063222A)
Enumeration Date
2007-03-20
Last Update Date
2014-01-14
Business Address
Mrs. ANGELA SUE FORNKOHL BLUM M.D.
1000 N 16TH ST SUITE G-10
NEW CASTLE, IN 47362-4319
Phone number: 765-521-0901
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Mailing Address
Mrs. ANGELA SUE FORNKOHL BLUM M.D.
PO BOX 426
NEW CASTLE, IN 47362-0426
Phone number: 765-521-0901
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