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Individual

RUBEN DARIO RESTREPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3766 STEEL AVE, KINGMAN, AZ 86409-3087
(928) 530-9591
Mailing address
3766 STEEL AVE, KINGMAN, AZ 86409-3087
(928) 419-2447

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
372500000X
Chore Provider
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
03/18/2024
Last updated
05/10/2025
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