STEPHANIE FOUGEROUSSE

TERRE HAUTE, IN
NPI1619593340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01089186A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11021258A)
Enumeration Date2020-06-18
Last Update Date2023-06-14
Business Address
STEPHANIE FOUGEROUSSE DO
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807-1061
Phone number: 812-238-7631
Mailing Address
STEPHANIE FOUGEROUSSE DO
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807-1061
Phone number: 812-238-7631
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