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Individual

LARISSA M NOGODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
204 N 36TH ST, TERRE HAUTE, IN 47803-1306
(907) 317-5957

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/09/2026
Last updated
06/15/2026
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