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Ruston Garrett Smith
Student in an Organized Health Care Education/Training Program in Durant, Oklahoma
NPI 1669146387

Ruston Garrett Smith is a Student in an Organized Health Care Education/Training Program based in Durant, OK. Ruston Garrett Smith practices in Durant, OK. The NPI Number for Ruston Garrett Smith is 1669146387 and holds a License No. (Oklahoma).

The current practice location address for Ruston Garrett Smith is 1405 N 4Th Ave, Durant, OK and can be reached out via phone at 580-745-2829 and via fax at 580-745-2518.

Location: 1405 N 4Th Ave, Durant, OK, 74701-3019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669146387
Provider Name
Ruston Garrett Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1405 N 4Th Ave, Durant, OK, 74701-3019
Phone Number
580-745-2829
Fax Number
580-745-2518
Provider Enumeration Date
08/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1405 N 4Th Ave
City
Durant
State
Oklahoma
Zip
74701-3330
Phone Number
580-745-2829
Fax Number
580-745-2518
person
Provider Business Mailing Address Details
Address
1405 N 4Th Ave
City
Durant
State
Oklahoma
Zip
74701-3330
Phone Number
580-745-2829
Fax Number
580-745-2518
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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