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Individual

MONICA MICHELE ROADRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3218 DAUGHERTY DR STE 140, LAFAYETTE, IN 47909-3997
(765) 502-4190
(765) 502-4191
Mailing address
760 PARK EAST BLVD, LAFAYETTE, IN 47905-0795
(765) 447-7473
(765) 449-8504

Taxonomy

Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
71008438A
IN

Other

Enumeration date
10/09/2018
Last updated
12/09/2019
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