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1043651789
LARISSA R RUTTER
DANVILLE, PA
NPI
1043651789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA056203)
Enumeration Date
2013-07-10
Last Update Date
2013-07-10
Business Address
Ms. LARISSA R RUTTER PA-C
115 WOODBINE LN
DANVILLE, PA 17822-5206
Phone number: 570-271-8050
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Mailing Address
Ms. LARISSA R RUTTER PA-C
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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