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Individual

MS. RUTH E. LOOMIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2582 SOUTH RD, MARLBORO, VT 05344-9801
(802) 257-4333
(802) 251-7604
Mailing address
40 SHIPPEE RD, ROWE, MA 01367-9715
(413) 339-4302

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
184097
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
NP101-0024580
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP2526
BLUE CROSS BLUE SHIELD
Enumeration date
04/04/2007
Last updated
09/28/2010
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