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1396278958
SEAN MICHAEL RUTSCHKE
NAMPA, ID
NPI
1396278958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-1395)
Enumeration Date
2017-04-10
Last Update Date
2020-07-07
Business Address
SEAN MICHAEL RUTSCHKE
9850 W ST LUKES DR STE 290
NAMPA, ID 83687-7912
Phone number: 208-463-7300
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Mailing Address
SEAN MICHAEL RUTSCHKE
9850 W ST LUKES DR STE 290
NAMPA, ID 83687-7912
Phone number: 208-463-7300
Copy
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