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Individual
DR. JOHN BIRDSALL
Active
Individual
DR. JOHN BIRDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND, LDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
164.006907
IL
175F00000X
Naturopath
Primary
099.0098042
VT
Other
Enumeration date
06/20/2014
Last updated
08/26/2016
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