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Individual
SARAH ROUSAKIS
Active
Individual
SARAH ROUSAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002819A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002819A
INDIANA LICENSE
IN
Enumeration date
10/10/2019
Last updated
01/13/2026
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