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Individual

RICHARD DUSTIN WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NREMT-P

Contact information

Practice address
453 S NOVASEL ST, FORT RUCKER, AL 36362-5109
(229) 793-2880
Mailing address
2817 E OLD BAINBRIDGE RD, JAKIN, GA 39861-6831
(229) 793-2880

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
0700723
AL
146L00000X
Paramedic
9096
GA

Other

Enumeration date
11/05/2010
Last updated
01/10/2011
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