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1013072669
KEVIN PATRICK RUDDELL
LEWISTON, ID
NPI
1013072669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIR 725)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
Dr. KEVIN PATRICK RUDDELL DC
1117 16TH AVENUE
LEWISTON, ID 83501
Phone number: 208-743-8401
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Mailing Address
Dr. KEVIN PATRICK RUDDELL DC
1117 16TH AVENUE
LEWISTON, ID 83501
Phone number: 208-743-8401
Copy
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