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Individual

JAMES L BLUDWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1150 S FOREST AVE # 334, TEMPE, AZ 85287-0001
(480) 965-6147
(480) 965-3426
Mailing address
PO BOX 5199, ABILENE, TX 79608-5199
(325) 437-8300
(325) 437-8390

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4000
AZ

Other

Enumeration date
11/03/2008
Last updated
11/03/2008
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