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Individual

JONATHAN ONUFROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4920 W 600 N, FAIRLAND, IN 46126-9464
(317) 835-3006
Mailing address
10154 BLUE RIBBON BLVD, FISHERS, IN 46040-1374

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10811222
IN

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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