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1285774844
GUY H. J. RUDDICK
SPRINGFIELD, MO
NPI
1285774844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2000161005)
Enumeration Date
2007-02-06
Last Update Date
2008-07-22
Business Address
-- GUY H. J. RUDDICK FNP
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807-7304
Phone number: 417-888-5666
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Mailing Address
-- GUY H. J. RUDDICK FNP
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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