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VICKI PAYZANT BLACK L. AC.

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1215113881

Individual Registrant:
 VICKI PAYZANT BLACK L. AC.
Gender: F
Sole Proprietor

Location and contact information for practice:
98 HIGHWAY 119  NEDERLAND, CO 80466-0841 US
Tel: 303-258-1121  Fax: --

Contact information for business:
98 HIGHWAY 119 P.O. BOX 3059 NEDERLAND, CO 80466-0841 US
Tel: 303-258-1121  Fax: --

Registration Information:
NPI: 1215113881
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
COACU918

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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