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1427613447
TIMOTHY POQUETTE
LAFAYETTE, IN
NPI
1427613447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 71009141A)
Enumeration Date
2019-05-06
Last Update Date
2024-07-29
Business Address
TIMOTHY POQUETTE PMHNP-BC
1716 HARTFORD ST
LAFAYETTE, IN 47904-2138
Phone number: 765-742-1567
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Mailing Address
TIMOTHY POQUETTE PMHNP-BC
1716 HARTFORD ST
LAFAYETTE, IN 47904-2138
Phone number: 765-742-1567
Copy
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