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Individual
ALAN RUCKER
Active
Individual
ALAN RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
169338
PA
163W00000X
Registered Nurse
Primary
705674-1
NY
163W00000X
Registered Nurse
RN677278
PA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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