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Individual

DR. RENATA RUDI RICKELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1304B BRENDA AVE, PERRYVILLE, MO 63775-2303
(573) 547-8300
(573) 547-8329
Mailing address
1304B BRENDA AVE, PERRYVILLE, MO 63775-2303
(573) 547-8300
(573) 547-8329

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016002493
MO
111NN1001X
Nutrition Chiropractor
2016002493
MO

Other

Enumeration date
04/29/2016
Last updated
05/06/2016
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