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TRILLIS MCCLATCHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
1701 CREASY LANE, LAFAYETTE, IN 47905-1701
(765) 446-9600
(765) 446-1100
Mailing address
2304 KOSSUTH ST, LAFAYETTE, IN 47904-3240
(765) 446-9600
(765) 446-1100

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
71003652A
IN

Other

Enumeration date
05/23/2012
Last updated
05/29/2012
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