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Individual

DR. GARY LEE RUTLEDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
15435 MAIN NE, DUVALL, WA 98019-0820
(425) 788-4625
(425) 844-2557
Mailing address
15435 MAIN NE, POST OFFICE BOX 820, DUVALL, WA 98019-0820
(425) 788-4625
(425) 844-2557

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
025202CH00001323
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025202CH00001323
STATE LICENSE
WA
01
6011700132
UBI
WA
Enumeration date
07/18/2005
Last updated
01/30/2008
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