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Individual
JENNIFER RUEL
Active
Individual
JENNIFER RUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704219489
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4648506
—
MI
05
—
10-4648515
—
MI
05
—
10-4648524
—
MI
05
—
10-4648533
—
MI
05
—
10-4648542
—
MI
05
—
10-4648560
—
MI
Enumeration date
01/06/2006
Last updated
06/14/2016
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