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1508352642
KSENIA BRUNER
FORT WAYNE, IN
NPI
1508352642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71008129A)
Enumeration Date
2018-07-02
Last Update Date
2018-09-18
Business Address
KSENIA BRUNER
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-2770
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Mailing Address
KSENIA BRUNER
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 46845-1703
Phone number:
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