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Individual

KATHRYN RUARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
625 CANAL VIEW DR APT G, INDIANAPOLIS, IN 46202-6121
(812) 230-5703
Mailing address
625 CANAL VIEW DR APT G, INDIANAPOLIS, IN 46202-6121
(812) 230-5703

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/18/2020
Last updated
08/18/2020
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