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Individual

DR. RACHELLE ROSE ROEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2818 N HIGH SCHOOL RD, SPEEDWAY, IN 46224
(317) 299-5800
(317) 299-0017
Mailing address
2818 N HIGH SCHOOL RD, SPEEDWAY, IN 46224
(317) 299-5800
(317) 299-0017

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002105A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20099620A
IN
Enumeration date
11/28/2006
Last updated
07/08/2007
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