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Individual

MR. RICHARD DYER MUDD

Active
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Individual

MR. RICHARD DYER MUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1348
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000Z0979
NM
01
1004541
LOVELACE HSC
01
14763
MOLINA HSC
01
NM01E22
BCBS NM
NM
Enumeration date
12/22/2006
Last updated
12/11/2007
Update your record

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