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Individual

MRS. CORAL-ANN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.010047
IL
363A00000X
Physician Assistant
Primary
10004163A
IN

Other

Enumeration date
01/04/2022
Last updated
01/20/2024
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