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1861711244
PHIL NOBLE RUCKMAN
FORT WAYNE, IN
NPI
1861711244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12011439A)
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
Dr. PHIL NOBLE RUCKMAN D.D.S.
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815-7007
Phone number: 260-485-0583
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Mailing Address
Dr. PHIL NOBLE RUCKMAN D.D.S.
10708 TRADE WIND CT
FORT WAYNE, IN 46825-2662
Phone number: 260-750-7825
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