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Individual
MRS. JENNIE ROSE CHUN
Active
Individual
MRS. JENNIE ROSE CHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002348
WA
174400000X
Specialist
MA00009827
WA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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