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1619592953
PHILLIP ROBERT RUTLEDGE
KEMMERER, WY
NPI
1619592953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-06-12
Last Update Date
2020-10-26
Business Address
PHILLIP ROBERT RUTLEDGE PA
711 ONYX ST
KEMMERER, WY 83101-3214
Phone number: 307-877-4401
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Mailing Address
PHILLIP ROBERT RUTLEDGE PA
711 ONYX ST
KEMMERER, WY 83101-3214
Phone number: 307-877-4496
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