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1275761181
ADHINETA SUDNAGUNTA
FORT WAYNE, IN
NPI
1275761181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 34.010499)
Enumeration Date
2009-06-30
Last Update Date
2015-02-06
Business Address
-- ADHINETA SUDNAGUNTA D.O
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
-- ADHINETA SUDNAGUNTA D.O
5423 KINZIE CT
FORT WAYNE, IN 46835-7701
Phone number: 419-490-3041
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