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Individual

MRS. GAYLE L RUFFINER

Active
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Individual

MRS. GAYLE L RUFFINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1107
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139751721
AR
01
5U925
BLUE CROSS ID NUMBER
AR
01
PT1107
STATE LICENSE NUMBER
AR
Enumeration date
04/10/2007
Last updated
01/13/2023
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