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Individual

MS. MARY JULIA RUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3440 VIKING DR STE 114, SACRAMENTO, CA 95827-2844
(916) 910-4971
Mailing address
10383 LARKIN RD SPC 46, LIVE OAK, CA 95953-2128
(530) 788-6591

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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