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1184097271
RONALD RUTTEN
SODA SPRINGS, ID
NPI
1184097271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-433)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- RONALD RUTTEN
300 S 3RD W
SODA SPRINGS, ID 83276-1559
Phone number: 208-547-3341
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Mailing Address
-- RONALD RUTTEN
1872 N HONEYSUCKLE LN
INKOM, ID 83245-1612
Phone number: 208-775-3531
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