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1023650868
MIRANDA TEDDER
KOKOMO, IN
NPI
1023650868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71009470A)
Enumeration Date
2019-10-14
Last Update Date
2023-11-27
Business Address
MIRANDA TEDDER
3611 S REED RD STE 214
KOKOMO, IN 46902-3828
Phone number: 765-776-8700
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Mailing Address
MIRANDA TEDDER
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number:
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