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1114595394
VIJAY VEERULA
FORT WAYNE, IN
NPI
1114595394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11021688A)
Enumeration Date
2021-06-15
Last Update Date
2024-06-27
Business Address
VIJAY VEERULA DO
3919 W JEFFERSON BLVD STE 1
FORT WAYNE, IN 46804-6811
Phone number: 260-436-7722
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Mailing Address
VIJAY VEERULA DO
3919 W JEFFERSON BLVD STE 1
FORT WAYNE, IN 46804-6811
Phone number: 260-436-7722
Copy
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