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1336634203
RUBYE BARDOUILLE
FORT CAMPBELL, KY
NPI
1336634203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-06-24
Last Update Date
2019-07-02
Business Address
RUBYE BARDOUILLE
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 773-606-4654
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Mailing Address
RUBYE BARDOUILLE
547 MEDALLION CIR
CLARKSVILLE, TN 37042-1684
Phone number:
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