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Individual
JOE REDD
Active
Individual
JOE REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4541
CA
Other
Enumeration date
08/01/2005
Last updated
10/21/2020
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