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Individual
DR. MARLIN DEE RICHARDSON
Active
Individual
DR. MARLIN DEE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
445
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303568
BCBS PROVIDER NUMBER
—
Enumeration date
11/30/2006
Last updated
07/08/2007
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