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Individual
JASON MICHAEL PUDENZ
Active
Individual
JASON MICHAEL PUDENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007596
IA
111N00000X
Chiropractor
CHR-6882
CO
Other
Enumeration date
06/19/2012
Last updated
02/19/2013
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