MR. Jackie (jack) Duwayne Rurak, ATP #64040

NPI #1730502279 in Cleburne, Texas

Provider Information

NPI Number: 1730502279
Entity Type: Individual
Name: MR. Jackie (jack) Duwayne Rurak, ATP #64040
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: ATP #64040
Enumeration Date: Feb 3, 2014
Last Updated: Feb 3, 2014

Practice Location

Address: 604 N NOLAN RIVER RD
City: Cleburne
State: Texas
ZIP Code: 76033-7008
Phone: (817) 645-4718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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