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Individual

STEPHANIE RUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
138 GUINEA RD, BERWICK, ME 03901-2836
(207) 698-4579
Mailing address
138 GUINEA RD, BERWICK, ME 03901-2836

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000022800
CERTIFICATION ID
ME
Enumeration date
11/17/2015
Last updated
11/17/2015
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