KSENIA BRUNER

FORT WAYNE, IN
NPI1508352642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71008129A)
Enumeration Date2018-07-02
Last Update Date2025-08-11
Business Address
KSENIA BRUNER
2231 CAREW ST
FORT WAYNE, IN 46805-4713
Phone number: 260-266-7856
Mailing Address
KSENIA BRUNER
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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