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Individual

JACQUELINE RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
201A WATERFORD ST, EDINBORO, PA 16412-2226
(814) 734-5000
Mailing address
PO BOX 187, FAIRVIEW, PA 16415-0187
(216) 659-6669

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MSG001698
PA

Other

Enumeration date
01/31/2013
Last updated
01/31/2013
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