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Individual

MR. DAVID ALLAN RUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
1588 E MARCH LN, STOCKTON, CA 95210-5669
(207) 474-7881
(913) 814-4525
Mailing address
235 STERLING GROVE DR, GALT, CA 95632-2433
(209) 712-0661

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
425261
CA
163WH0200X
Home Health Registered Nurse
Primary
425261
CA

Other

Enumeration date
06/06/2007
Last updated
08/06/2007
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