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Individual

MR. DWAYNE HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2740 SOMERSET DR APT 401, LAUDERDALE LAKES, FL 33311-2785
(516) 643-8402
Mailing address
2740 SOMERSET DR APT 401, LAUDERDALE LAKES, FL 33311-2785
(516) 643-8402

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
01/30/2017
Last updated
01/30/2017
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