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 Date2018-09-18
Business Address
KSENIA BRUNER
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-2770
Mailing Address
KSENIA BRUNER
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 46845-1703
Phone number:
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