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Search › Indiana › 172V00000X

Sam Brooks

NPI 1457059354 · on the registry since 2023 · sole proprietor

Practice

Address
105 Executive Dr Ste C
Lafayette, IN 47905
Phone
(219) 472-8900
Organisation at this address
National Youth Advocate Program, Inc
Raj Clinics Professional Services Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172V00000X
172V00000X
Sex
Male
Record last updated
2023-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana