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1720028673
DIANE L RUCKERT
FREDERICK, MD
NPI
1720028673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R115108)
Enumeration Date
2006-06-08
Last Update Date
2019-07-30
Business Address
Ms. DIANE L RUCKERT crnp
400 W 7TH ST
FREDERICK, MD 21701
Phone number: 240-566-3031
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Mailing Address
Ms. DIANE L RUCKERT crnp
PO BOX 37086
BALTIMORE, MD 21297-3086
Phone number: 240-439-8913
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