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Individual

MR. DAVID JAMES ROUKIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
315 RECORD ST STE 102, RENO, NV 89512-3327
(775) 571-0282
Mailing address
1677 NOREEN DR, SPARKS, NV 89434-2593
(775) 842-0762

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36345
CA

Other

Enumeration date
05/06/2019
Last updated
06/11/2019
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