RENEE N RUTHERFORD

O FALLON, IL
NPI1619166345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-003107)
Enumeration Date2007-10-18
Last Update Date2008-08-21
Business Address
Ms. RENEE N RUTHERFORD PA-C
916 TALON DR SUITE 102
O FALLON, IL 62269-1848
Phone number: 618-628-8211
Mailing 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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