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Individual
HAROLD KENNETH RICHES
Active
Individual
HAROLD KENNETH RICHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21822
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30011000
—
WI
01
—
39130061011
BLUE CROSS
WI
Enumeration date
06/23/2006
Last updated
10/01/2007
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