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1477595429
JACK RUPP
WESTERVILLE, OH
NPI
1477595429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35-03-8607-R)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
-- JACK RUPP
555 W SCHROCK RD A
WESTERVILLE, OH 43081-8702
Phone number: 614-891-0005
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Mailing Address
-- JACK RUPP
PO BOX 951603
CLEVELAND, OH 44193-0018
Phone number:
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