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1265928675
KAITLYN RUCKER
WEST COLUMBIA, SC
NPI
1265928675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: SC 9184)
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
DR. KAITLYN RUCKER DMD
125 MEDICAL CIR
WEST COLUMBIA, SC 29169-3655
Phone number: 803-796-2637
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Mailing Address
DR. KAITLYN RUCKER DMD
115 CREPE MYRTLE CIR
LEXINGTON, SC 29073-8014
Phone number: 803-560-6888
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