Individual
MRS. COURTNEY RAE RUPIPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1550 6TH ST,, MANNING, IA 51455
(712) 655-2072
Mailing address
1550 6TH ST., MANNING, IA 51455
(712) 830-4249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
086033
IA
Other
Enumeration date
02/09/2017
Last updated
10/06/2017
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