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Individual

ROCHELLE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2121 LAKE AVE STE J, FORT WAYNE, IN 46805-5100
(800) 360-8387
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043.048665
IL
164W00000X
Licensed Practical Nurse
Primary
27042139A
IN

Other

Enumeration date
10/09/2009
Last updated
03/09/2023
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