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Individual
BRUKE TEDLA
Active
Individual
BRUKE TEDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
A160609
CA
Other
Enumeration date
01/29/2018
Last updated
11/11/2025
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