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Individual
MARILOU G RUBLE
Active
Individual
MARILOU G RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
23001082A
IN
231H00000X
Audiologist
A0000001464
TN
231H00000X
Audiologist
Primary
AT006243
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10032658
SIGNATURE HEALTH ALLIANCE
TN
01
—
1138236
WINDSOR MEDICARE ADVANTAGE
TN
05
—
3192016
—
TN
01
—
4166173
BLUE CROSS/BLUE SHIELD
TN
01
—
9277081
AETNA
—
01
—
9368045
CIGNA
—
Enumeration date
07/06/2006
Last updated
06/05/2012
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