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Individual
RIVER MICHAEL RUDHE
Active
Individual
RIVER MICHAEL RUDHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20998
OR
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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