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1376983296
AMIRUMMUL B NUSAIREE
FORT WAYNE, IN
NPI
1376983296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11017435A)
Enumeration Date
2013-06-25
Last Update Date
2016-03-22
Business Address
-- AMIRUMMUL B NUSAIREE MD
750 BROADWAY SUITE 150
FORT WAYNE, IN 46802-1411
Phone number: 260-423-2682
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Mailing Address
-- AMIRUMMUL B NUSAIREE MD
750 BROADWAY SUITE 350
FORT WAYNE, IN 46802-1411
Phone number: 260-423-2675
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