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1588058739
HALIE H KUDUMULA
FORT WAYNE, IN
NPI
1588058739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71005419A)
Enumeration Date
2015-03-26
Last Update Date
2023-01-04
Business Address
Mrs. HALIE H KUDUMULA NNP-BC
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6400
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Mailing Address
Mrs. HALIE H KUDUMULA NNP-BC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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