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>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1376671230

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
Tel: 928-716-0417  Fax: 307-675-4400

Contact information for business:
Tel: 928-716-0417  Fax: 928-767-3004

Registration Information:
NPI: 1376671230
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
N171100000XOther Service Providers

Legacy codes, insurance codes and state license numbers:



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