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Individual

MRS. RUTH A. MINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., C.N.P., BS

Contact information

Practice address
415 HEALTH DEPARTMENT RD, MURPHYSBORO, IL 62966-6108
(618) 684-3143
(618) 687-1255
Mailing address
415 HEALTH DEPARTMENT RD, MURPHYSBORO, IL 62966-6108
(618) 684-3143
(618) 687-1255

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
209002528
IL

Other

Enumeration date
02/01/2010
Last updated
02/01/2010
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