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Individual
DEIDRE J HUDSON
Active
Individual
DEIDRE J HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19084
SC
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190849
—
SC
Enumeration date
02/02/2006
Last updated
10/19/2015
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