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Individual
MR. RICHARD WAYNE IRVIN II
Active
Individual
MR. RICHARD WAYNE IRVIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN, MHPP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L45386
AR
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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