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Individual

DALLAS RUDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(405) 665-4385
Mailing address
500 W 16TH ST, ADA, OK 74820-7610
(580) 369-0715

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
01/16/2017
Last updated
01/16/2017
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