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Individual

RUTH IONE PRICE

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
5610 MEDICAL CIR, STE 25, MADISON, WI 53719-1227
(608) 274-5871
(608) 274-5764
Mailing address
976 WASHINGTON RD, STOUGHTON, WI 53589-3854
(608) 205-9878

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3062125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40920400
WI
Enumeration date
11/18/2005
Last updated
07/08/2007
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