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KAITLIN RICHARDS

>> Clinical Pharmacology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1295361335

Individual Registrant:
 KAITLIN  RICHARDS 
Gender: F
Sole Proprietor

Location and contact information for practice:
NAVAJO ROUTE 64 & 12  TSAILE, AZ 86556-8655 US
Tel: 928-724-3904  Fax: --

Contact information for business:
PO BOX C021  TSAILE, AZ 86556-5048 US
Tel: 928-724-3904  Fax: --

Registration Information:
NPI: 1295361335
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208U00000XAllopathic & Osteopathic Physicians
Clinical Pharmacology
MO2019028681

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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