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Individual

ALYSON M RUOTANEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
1550 E COUNTY LINE RD STE 315, INDIANAPOLIS, IN 46227-0990
(317) 497-6888
Mailing address
9002 N MERIDIAN ST STE 222, INDIANAPOLIS, IN 46260-5350
(317) 844-7059
(317) 819-0044

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002686A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300027189
IN
Enumeration date
06/12/2019
Last updated
06/18/2021
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