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Individual

JENNIFER MICHELE RUDDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6215 IRONWOOD LN, FORT SMITH, AR 72916-8842
(479) 719-6829
Mailing address
6215 IRONWOOD LN, FORT SMITH, AR 72916-8842
(479) 719-6829

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AR

Other

Enumeration date
06/16/2026
Last updated
06/16/2026
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