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FAIN RICHARDSON

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1386045532

Individual Registrant:
 FAIN  RICHARDSON 
Gender: M
Sole Proprietor

Location and contact information for practice:
3470 COUNTY ROAD 13  MEEKER, CO 81641-7719 US
Tel: 970-620-0060  Fax: --

Contact information for business:
3470 COUNTY ROAD 13  MEEKER, CO 81641-7719 US
Tel: 970-620-0060  Fax: --

Registration Information:
NPI: 1386045532
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
WI

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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