Ruston Garrett Smith
Ruston Garrett Smith is a Student in an Organized Health Care Education/Training Program in Durant, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1405 N 4th AveDurant, OK 74701-3330
Phone: (580) 745-2829
Fax: (580) 745-2518
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1669146387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 5, 2021 |
| Last updated in NPPES | August 5, 2021 |
| Certification date | August 5, 2021 |
| Mailing address | 3802 W University Blvd Apt 11, Durant, OK 74701-3019 |
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