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Michele Ruffy

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NPI Number Detailed Information

Provider Information:

Name: Michele Ruffy
Gender: F
Provider License Number If Given: 524

NPI Information:

NPI: 1174522759
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/12/2007

Provider Business Mailing Address:

Address: 5000 CEDAR PLAZA PARKWAY STE 350
Saint Louis, MO 63128
Phone Number: 3148434333
Fax Number: 3148434856

Provider Business Practice Location Address:

Address: 4200 CLOVERLEAF DRIVE SUITE J-K
St.Peters, MO 63376
Phone Number: 6369285109
Fax Number: 6364474678

Provider Taxonomy:

Primary: 103T00000X
Secondary (if any):
State: MO

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