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Individual

BIANCA RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 SHARE DR, ALVA, OK 73717-3613
(580) 430-3366
Mailing address
1736 CHERRY ST, ALVA, OK 73717-1837

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5698
OK

Other

Enumeration date
09/26/2024
Last updated
12/18/2025
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