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Individual

LYNDE ROUCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1260 HALE DR, CONCORD, CA 94518-1516
(925) 348-3577
Mailing address
1260 HALE DR, CONCORD, CA 94518-1516
(925) 348-3577

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16041
CA

Other

Enumeration date
02/26/2007
Last updated
12/04/2011
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