Individual
DR. BONNIE LYN RUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4842 N KINGS HWY, FORT PIERCE, FL 34951-2243
(772) 405-7877
Mailing address
1924 WREN AVE, FORT PIERCE, FL 34982-5635
(772) 405-7877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10311
FL
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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