Individual
EMILY RUARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E WILL ROGERS BLVD, CLAREMORE, OK 74017-6352
(918) 342-3334
Mailing address
1010 E WILL ROGERS BLVD, CLAREMORE, OK 74017-6352
(918) 342-3334
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708470A
—
OK
Enumeration date
04/15/2019
Last updated
11/27/2023
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