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1306863923
JAMES RAYMOND RUDOLPH
FORT WAYNE, IN
NPI
1306863923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01031169A)
Enumeration Date
2006-07-17
Last Update Date
2013-04-15
Business Address
Dr. JAMES RAYMOND RUDOLPH M.D.
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5531
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Mailing Address
Dr. JAMES RAYMOND RUDOLPH M.D.
1848 S DEER PARK DR
PERU, IN 46970-7279
Phone number: 765-472-7629
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