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Individual

SUSAN BETH RUELING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3299 E KINGBIRD DR, GILBERT, AZ 85297-8222
(480) 330-2257
Mailing address
3299 E KINGBIRD DR, GILBERT, AZ 85297-8222
(480) 330-2257

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN100076
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6790572142
BLUE CROSS BLUE SHIELD OF ARIZONA
AZ
Enumeration date
05/02/2014
Last updated
05/02/2014
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