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1558506014
STEPHEN CHARLES RUDDEK
JOHNSTOWN, PA
NPI
1558506014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: PA MA002725L)
Enumeration Date
2008-12-11
Last Update Date
2014-06-05
Business Address
Mr. STEPHEN CHARLES RUDDEK PA-C
1086 FRANKLIN ST
JOHNSTOWN, PA 15905-4305
Phone number: 814-534-9407
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Mailing Address
Mr. STEPHEN CHARLES RUDDEK PA-C
1086 FRANKLIN ST
JOHNSTOWN, PA 15905-4305
Phone number: 814-410-8300
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