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Individual

ALLISON ROARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
127 BRYCE JORDAN CENTER, UNIVERSITY PARK, PA 16802
(814) 863-5500
Mailing address
5608 BOEHM DRIVE, FAIRFIELD, OH 45014
(513) 543-2766

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/04/2015
Last updated
08/04/2015
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