Individual
MARILYN RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 E BROADWAY, FAIRVIEW, OK 73737-2110
(580) 227-2531
(580) 227-2642
Mailing address
408 E BROADWAY, FAIRVIEW, OK 73737-2110
(580) 227-2531
(580) 227-2642
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100687230
—
OK
Enumeration date
06/24/2016
Last updated
06/24/2016
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