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Individual

MS. RUTH ELLEN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2800 OWEN ST, AMMON, ID 83406-7644
(208) 525-4429
Mailing address
1951 OLYMPIA ST, IDAHO FALLS, ID 83402-1624
(208) 244-2260

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
N-14798
ID

Other

Enumeration date
08/01/2008
Last updated
08/01/2008
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