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Individual

ANDRE RUCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 312-6873
(870) 777-3104
Mailing address
300 E 20TH ST, HOPE, AR 71801-8217
(870) 777-9051
(870) 777-3104

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/13/2024
Last updated
01/23/2025
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