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1336512052
KRISTOPHER DAVIS MUDD
PARADISE, CA
NPI
1336512052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-03
Last Update Date
2016-08-25
Business Address
Mr. KRISTOPHER DAVIS MUDD
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-872-2103
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Mailing Address
Mr. KRISTOPHER DAVIS MUDD
6368 SIENA CT
MAGALIA, CA 95954-9411
Phone number: 530-515-7311
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