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Mr. Jackie (jack) Duwayne Rurak, ATP#64040
Other Technician in Cleburne, Texas
NPI 1730502279

Jackie (jack) Duwayne Rurak is a Other Technician based in Cleburne, TX. Jackie (jack) Duwayne Rurak practices in Cleburne, TX and has the professional credentials of ATP#64040. The NPI Number for Jackie (jack) Duwayne Rurak is 1730502279 and holds a License No. (Texas).

The current practice location address for Jackie (jack) Duwayne Rurak is 604 N Nolan River Rd, Cleburne, TX and can be reached out via phone at 817-645-4718 and via fax at 817-641-2960.

Location: 604 N Nolan River Rd, Cleburne, TX, 76033-7008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730502279
Provider Name
Jackie (jack) Duwayne Rurak
Credential
ATP#64040
Provider Entity Type
Individual
Gender
Male
Address
604 N Nolan River Rd, Cleburne, TX, 76033-7008
Phone Number
817-645-4718
Fax Number
817-641-2960
Provider Enumeration Date
02/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015900601 05 TX
institution
Provider Business Practice Location Address Details
Address
604 N Nolan River Rd
City
Cleburne
State
Texas
Zip
76033-7008
Phone Number
817-645-4718
Fax Number
817-641-2960
person
Provider Business Mailing Address Details
Address
604 N Nolan River Rd
City
Cleburne
State
Texas
Zip
76033-7008
Phone Number
817-645-4718
Fax Number
817-641-2960
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
(Texas)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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