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Individual

MR. DONALD EDWARD CUDDY

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
1518 GARRETT RD, JEFFERSON, OH 44047-8300
(440) 576-0980
(440) 576-0085
Mailing address
1518 GARRETT RD, JEFFERSON, OH 44047-8300
(440) 576-0980
(440) 576-0085

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN258715
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2199240
OH
Enumeration date
02/17/2006
Last updated
07/09/2007
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