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Individual

MR. DALE E RUPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3000 ERIE ST S, MASSILLON, OH 44646-7976
(330) 833-3135
(330) 833-7327
Mailing address
30 E BROAD ST, 11TH FLOOR ATTN TONYA FASONE, COLUMBUS, OH 43215
(614) 466-9930
(614) 644-9116

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3023
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150223
OH
01
RUCP01385
PIN
OH
Enumeration date
10/25/2006
Last updated
07/08/2007
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