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CHARLENE ANN WEIDNER LIC.AC

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1679742662

Individual Registrant:
 CHARLENE ANN WEIDNER LIC.AC
Gender: F
Sole Proprietor

Location and contact information for practice:
3830 G 7/10 RD  PALISADE, CO 81526-8733 US
Tel: 970-464-5413  Fax: --

Contact information for business:
3830 G 7/10 RD  PALISADE, CO 81526-8733 US
Tel: 970-464-5413  Fax: --

Registration Information:
NPI: 1679742662
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
CO199

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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