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Individual
DR. MARC WARREN JUDD
Active
Individual
DR. MARC WARREN JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A66629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A66629
STATE LICENSE
CA
Enumeration date
07/05/2005
Last updated
09/12/2012
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