Individual
OKSANA P JUMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 CHARLTON CT, GOSHEN, IN 46526-6463
(574) 533-8420
Mailing address
10191 FOREST LAKES DR, MIDDLEBURY, IN 46540-9430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28234307A
IN
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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