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Individual

MRS. RUTHANN WEBER RUTLEDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
540A LINE RD, HOLMDEL, NJ 07733-1634
(732) 739-0800
Mailing address
540A LINE RD, HOLMDEL, NJ 07733-1634
(732) 739-0800

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MT 00086
NJ

Other

Enumeration date
09/25/2008
Last updated
09/25/2008
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