Frank Wayne Dudley JR.

NPI 1073893491 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073893491
Gender Male
Enumeration Date 08/17/2011
Last Updated 08/17/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
702 N LOVEKIN BLVD
BLYTHE CA, 92225-1128, US
Phone (760) 922-0068
Fax
Business Location
702 N LOVEKIN BLVD
BLYTHE CA, 92225-1128, US
Phone (760) 922-0068
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Frank Wayne Dudley JR. NPI is 1073893491, taxonomy code is 390200000X Frank Wayne Dudley JR. physically located at 702 N Lovekin Blvd, Blythe CA, 92225-1128. NPI Number Frank Wayne Dudley JR. has the Individual type.

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1073893491 NPI number is provided on an as is basis without warranty of any kind. 1073893491 is maintained by the National Plan & Provider Enumeration System. The contents of Frank Wayne Dudley JR. are for informational purposes only.