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Individual

MR. DAN DAWAYNE REYNOLDS

Active
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Individual

MR. DAN DAWAYNE REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R. EEG T. , CNIM

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
1000
IL
2472E0500X
EEG Technician
3901
IL
2472E0500X
EEG Technician
Primary
—
CA

Other

Enumeration date
01/27/2009
Last updated
11/14/2013
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