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Individual

IVAN JAVIER REYES-RUFO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
900 S AUBURN ST, STE A, KENNEWICK, WA 99336-5621
(773) 425-0321
Mailing address
2101 STEPTOE ST, 121, RICHLAND, WA 99352-8539
(773) 425-0321

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OL60557601
WA

Other

Enumeration date
03/26/2015
Last updated
07/15/2015
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