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1033756200
CORAL C RUCKER
PASADENA, CA
NPI
1033756200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
CORAL C RUCKER
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
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Mailing Address
CORAL C RUCKER
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
Copy
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