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1619166345
RENEE N RUTHERFORD
O FALLON, IL
NPI
1619166345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-003107)
Enumeration Date
2007-10-18
Last Update Date
2008-08-21
Business Address
MS. RENEE N RUTHERFORD PA-C
916 TALON DR SUITE 102
O FALLON, IL 62269-1848
Phone number: 618-628-8211
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Mailing Address
MS. RENEE N RUTHERFORD PA-C
916 TALON DR SUITE 102
O FALLON, IL 62269-1848
Phone number: 618-628-8211
Copy
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