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Individual

RUTHANN R LOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
122 WARD ST, CHESTNUT HILL, MA 02467-1029
(617) 527-1128
Mailing address
122 WARD ST, CHESTNUT HILL, MA 02467-1029
(617) 527-1128

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
184237
MA

Other

Enumeration date
09/15/2008
Last updated
09/15/2008
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