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1750857884
DAVID RUDY
VIENNA, IL
NPI
1750857884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
DAVID RUDY BS, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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Mailing Address
DAVID RUDY BS, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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