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Individual
MR. RICHARD JOHN SPANO
Active
Individual
MR. RICHARD JOHN SPANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
664180
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394-297-832
DRIVERS LICENSE
NY
Enumeration date
02/06/2013
Last updated
02/06/2013
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