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VICKIE DYAL

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1902376189

Individual Registrant:
 VICKIE  DYAL 
Gender: F
Sole Proprietor

Location and contact information for practice:
14804 NW 140TH ST  ALACHUA, FL 32615-6276 US
Tel: 386-462-0020  Fax: --

Contact information for business:
16653 NW 167TH PL  ALACHUA, FL 32615-8908 US
Tel: 352-316-3631  Fax: --

Registration Information:
NPI: 1902376189
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
FLAP3996

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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