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1144205774
RUTH A. HAUGAN
TUPELO, MS
NPI
1144205774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0379)
Enumeration Date
2005-12-06
Last Update Date
2007-07-08
Business Address
-- RUTH A. HAUGAN ATC
4381 S EASON BLVD LONGTOWN MEDICAL PARK - ORC
TUPELO, MS 38801-6583
Phone number: 662-377-5468
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Mailing Address
-- RUTH A. HAUGAN ATC
119 STANFORD DR APT. 16-B
SALTILLO, MS 38866-5712
Phone number: 662-844-2241
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