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Individual
MARY CLARE WISTHOFF
Active
Individual
MARY CLARE WISTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001096201
VA
171100000X
Acupuncturist
U00346
MD
Other
Enumeration date
03/12/2007
Last updated
09/11/2025
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