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Individual

RACHEL E FRUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2815 S STATE ROUTE 100, TIFFIN, OH 44883-8974
(419) 448-9728
(419) 448-4531
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP08392
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000379337
ANTHEM
05
2630488
OH
01
P00319302
RRMC
Enumeration date
11/21/2005
Last updated
02/25/2015
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