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Individual

EZELL J RUFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043-1648
(562) 380-9110
Mailing address
3622 HOWARD AVE APT 3, LOS ALAMITOS, CA 90720-3646
(562) 380-9110

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
01/30/2020
Last updated
01/30/2020
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