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Individual
RICHARD CLAY TESSMER
Active
Individual
RICHARD CLAY TESSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1285
OK
363A00000X
Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20026230B
—
OK
Enumeration date
01/06/2006
Last updated
01/28/2008
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