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1588017495
MICHAEL T RUCKER
PORTSMOUTH, VA
NPI
1588017495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 1110643)
Enumeration Date
2016-07-15
Last Update Date
2016-07-15
Business Address
Dr. MICHAEL T RUCKER DNP, CRNA
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-3238
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Mailing Address
Dr. MICHAEL T RUCKER DNP, CRNA
205 HUNTER GREEN CT
CHESAPEAKE, VA 23320-3804
Phone number: 606-224-5864
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