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Individual

JODY E OKULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2709
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2709

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28134103A
IN

Other

Enumeration date
06/12/2014
Last updated
06/12/2014
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