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Individual

CAROLYN SUZANNE A RUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
92-461 MAKAKILO DR, KAPOLEI, HI 96707-1270
(808) 678-3814
Mailing address
1720 N HAMILTON ST, SPOKANE, WA 99207-2474

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
WA
172V00000X
Community Health Worker

Other

Enumeration date
07/16/2019
Last updated
09/29/2022
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