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1073132924
OLIVER HENRY RUIZ
DANVILLE, PA
NPI
1073132924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MT220602)
Enumeration Date
2020-04-10
Last Update Date
2020-06-25
Business Address
OLIVER HENRY RUIZ
100 N ACADEMY AVE
DANVILLE, PA 17822-0001
Phone number: 570-271-6211
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Mailing Address
OLIVER HENRY RUIZ
122 CONN ST
PORT ROYAL, PA 17082-9693
Phone number: 412-897-1745
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