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1235768953
LEANNA RAE RUCKER
PHILADELPHIA, PA
NPI
1235768953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-04
Last Update Date
2024-06-26
Business Address
LEANNA RAE RUCKER MD
111 S 11TH ST
PHILADELPHIA, PA 19107-4870
Phone number: 215-955-6000
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Mailing Address
LEANNA RAE RUCKER MD
1080 CRESTBROOK DR
RIVERSIDE, CA 92506-5664
Phone number: 951-801-0495
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