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Individual

LESLIE HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 W COMMUNITY DR, MUNCIE, IN 47304-5459
(765) 289-2273
Mailing address
18865 N 500 E-48, FAIRMOUNT, IN 46928-9423
(765) 618-2954

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
01/06/2023
Last updated
01/06/2023
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