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LAURA ANN DELOATCH L. AC

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1245556703

Individual Registrant:
 LAURA ANN DELOATCH L. AC
Gender: F
Sole Proprietor

Location and contact information for practice:
130 W SACKETT AVE UNIT D  SALIDA, CO 81201-2008 US
Tel: 719-530-3131  Fax: --

Contact information for business:
809 W 1ST ST  SALIDA, CO 81201-1611 US
Tel: (30-3) -229-5261  Fax: --

Registration Information:
NPI: 1245556703
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
CO1500

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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