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Individual
MR. KEITH MICHAEL JUDELMAN
Active
Individual
MR. KEITH MICHAEL JUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, RN, EAMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
60133669
WA
363LF0000X
Family Nurse Practitioner
95012894
CA
363LF0000X
Family Nurse Practitioner
Primary
AP60995298
WA
Other
Enumeration date
09/21/2010
Last updated
12/17/2020
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