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1417213133
BETTY L RUCKER
JOHNSTON CITY, IL
NPI
1417213133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.061782)
Enumeration Date
2012-04-06
Last Update Date
2012-04-06
Business Address
-- BETTY L RUCKER LPN
14410 ROUTE 37
JOHNSTON CITY, IL 62951-3166
Phone number: 618-983-6911
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Mailing Address
-- BETTY L RUCKER LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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