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1215518501
SAVANNAH ROSE RUCKER
SAN DIEGO, CA
NPI
1215518501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-04-18
Last Update Date
2021-04-18
Business Address
SAVANNAH ROSE RUCKER ATC, OTC
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121-3834
Phone number: 858-453-7364
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Mailing Address
SAVANNAH ROSE RUCKER ATC, OTC
4357 VETTER PL
LA MESA, CA 91942-5909
Phone number: 619-997-8095
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