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1720094584
LUELLA BANGURA
LAFAYETTE, IN
NPI
1720094584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01045193a)
Enumeration Date
2006-08-01
Last Update Date
2012-12-11
Business Address
Dr. LUELLA BANGURA MD
5 EXECUTIVE DR STE G
LAFAYETTE, IN 47905-4867
Phone number: 765-448-4646
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Mailing Address
Dr. LUELLA BANGURA MD
13 S BROOKFIELD DR
LAFAYETTE, IN 47905-7658
Phone number: 765-447-7941
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