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1265158679
SUJATA TIDD
TERRE HAUTE, IN
NPI
1265158679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71013179A)
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
SUJATA TIDD FNP
1606 N 7TH ST
TERRE HAUTE, IN 47804-2706
Phone number: 812-238-7000
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Mailing Address
SUJATA TIDD FNP
4525 S SPRINGHILL JCT
TERRE HAUTE, IN 47802-4563
Phone number: 812-234-6053
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