Individual
DR. SHARLEEN MARIE RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 412-9110
(270) 412-9131
Mailing address
GEORGIA AVENUE, BLDG 3508, FT POLK, LA 71459
(337) 531-3192
(337) 531-4196
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
392A
SD
Other
Enumeration date
01/05/2012
Last updated
07/21/2022
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