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1598267403
NISHA BOGOSIAN
WEST LAFAYETTE, IN
NPI
1598267403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71007830B)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
Mrs. NISHA BOGOSIAN
1400 W STATE ST STE B
WEST LAFAYETTE, IN 47906-3438
Phone number: 765-494-0111
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Mailing Address
Mrs. NISHA BOGOSIAN
1400 WEST STATE STREET., BUILDING B, SUITE C
WEST LAFAYETTE, IN 47906
Phone number:
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