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Individual

DR. RICHARD O DUSTMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4342 GALLIA ST, SUITE B, NEW BOSTON, OH 45662-5562
(740) 456-8888
(740) 456-8889
Mailing address
4342 GALLIA ST, SUITE B, NEW BOSTON, OH 45662-5562
(740) 456-8888
(740) 456-8889

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2172
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0171737
OH
Enumeration date
03/15/2007
Last updated
02/04/2009
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